Patient Access Representative

Stryker Corporation; Somersworth (NH); On-site; USD 40,000 - 55,000; Full time

Job summary

A leading healthcare organization is seeking a Patient Access Representative to manage patient billing and administrative tasks. The role involves verifying insurance, resolving billing issues, and maintaining accurate accounts. Join a team dedicated to high-quality patient care and contribute to opioid recovery efforts.

Benefits

Competitive salary

Comprehensive benefits including medical, dental, vision, and 401(K)

Generous paid time off accrual

Opportunities for growth and development

Qualifications

• At least 2 years' prior experience in a medical office setting.
• 2-4 years' experience with Medicaid and commercial insurance preferred.

Responsibilities

• Verify insurance benefits and billing information.
• Resolve issues with payment and billing.
• Maintain confidentiality of patient records.

Skills

Customer Service

Communication

Attention to Detail

Education

High school diploma or equivalent

Tools

Microsoft Word

Microsoft Excel

Job description

Description

Full Time - Patient Access Representative / Patient Account Representative

Health Care Resource Center is looking for a hardworking and conscientious Patient Access Representative / Patient Account Representative to perform various administrative tasks with a keen eye for detail. The patient account representative is primarily responsible for patient billing, including verification of invoice information, maintenance of third-party billing records, and resolution of a variety of problems.

Responsibilities:

1. Review, maintain, and process fiscal/account records and transactions related to patient's accounts.
2. Verify insurance benefits and billing information by terminal and/or telephone. Annotate accounts with insurance coverage and estimated patient shares.
3. Contact third-party payers (insurance providers and state/federal agencies) for payment post billing.
4. Resolve issues with payment and billing, authorization process.
5. Reconcile daily money collected.
6. Forward information as appropriate to expedite payment.
7. Maintain accurate accounts, including required signatures, proper account annotation, current demographics, and correspondence.
8. Ensure completion of pre-authorization process by inquiry and referral to clinician.
9. Monitor insurance authorizations and claim rejections.
10. Maintain fiscal records and worksheets for calculations, extensions, and verifications related to record keeping for assigned patient's accounts.
11. Perform tasks consistent with authorization and billing requirements.
12. Contact patients for payment of accounts or payment arrangements according to current policy.
13. Manage revenue cycle, production logs, balances, and collections for self-pay clients.
14. Maintain confidentiality of patient records.
15. Assist with archiving discharged files, including archiving.
16. Respond appropriately to requests for information regarding accounts from payers, attorneys, and others.
17. Backup Receptionist as needed: checking in patients, collecting payments, answering phones, scheduling intakes, and data entry.
18. Other duties as assigned.

Qualifications:

1. High school diploma or equivalent with at least 2 years' prior experience in a medical office setting.
2. 2-4 years' experience with Medicaid, PAC, and commercial insurance (preferred).
3. Excellent customer service skills and professional public presentation skills, including telephone etiquette.
4. Knowledge of medical insurance claims procedures, documentation, and records maintenance.
5. Knowledge of medical billing procedures, data gathering, and report compilation.
6. Proficient in basic PC skills; Microsoft Word and Excel preferred.
7. Effective communication skills, both oral and written.
8. Self-directed with the ability to work independently.
9. Ability to understand and follow oral and written directions, and establish effective working relationships with patients, management, staff, and peers.
10. Ability to work with diverse populations, manage stressful situations, and exhibit excellent customer service skills.
11. Satisfactory drug screen and criminal background check.

Benefits:

• Competitive salary
• Comprehensive benefits including medical, dental, vision, and 401(K)
• Generous paid time off accrual
• Opportunities for growth and development
• Satisfying work contributing to opioid epidemic recovery

What to Expect from Us:

Health Care Resource Center, a progressive substance abuse treatment organization, is committed to providing high-quality patient care in a comfortable outpatient setting. Our goal is to address the physical, emotional, and mental aspects of opioid use disorder to help patients achieve long-term recovery and improved quality of life.

We are committed to Equal Employment Opportunity (EEO) and comply with all applicable laws prohibiting employment discrimination based on race, color, age, ethnicity, religion, gender, pregnancy, marital status, sexual orientation, citizenship, genetic information, disability, veteran status, or other protected categories.