Patient Access Representative

Bay Mark Health; Woburn (MA); On-site; USD 40,000 - 65,000; Full time

Job summary

An established industry player is seeking a dedicated Patient Access Representative to manage essential administrative tasks in a healthcare setting. This role offers the opportunity to engage directly with patients and insurance providers, ensuring accurate billing and record maintenance. You will play a crucial part in the revenue cycle, assisting patients with their billing inquiries while working in a supportive environment focused on recovery from opioid use disorder. Join a progressive organization that values your contributions and offers growth opportunities in a rewarding field.

Benefits

Competitive Salary

Medical Benefits

Dental Benefits

Vision Benefits

401(k) Plan

Generous Paid Time Off

Growth Opportunities

Rewarding Work Environment

Qualifications

• 2+ years’ experience in a medical office preferred.
• Knowledge of medical insurance claims and record maintenance.

Responsibilities

• Review and process patient billing and account records.
• Contact insurance providers for payment processing.
• Maintain confidentiality of patient records.

Skills

Customer Service

Medical Billing

Insurance Verification

Communication Skills

PC Skills

Education

High School Diploma

Tools

Microsoft Word

Microsoft Excel

Job description

Description

Full Time Patient Access Representative / Patient Account Representative

Health Care Resource Center is seeking a dedicated Patient Access Representative/Patient Account Representative to handle various administrative tasks with attention to detail. The role primarily involves patient billing, invoice verification, maintaining third-party billing records, and resolving related issues.

Responsibilities:

• Review, maintain, and process fiscal and account records related to patients.
• Verify insurance benefits and billing information via terminal and/or phone, and annotate accounts accordingly.
• Contact insurance providers and government agencies for payment processing.
• Resolve payment and billing issues, including authorization processes.
• Reconcile daily collections and forward information to expedite payments.
• Maintain accurate accounts with signatures, annotations, current demographics, and correspondence.
• Ensure completion of pre-authorization processes through inquiries and referrals.
• Monitor insurance authorizations and claim rejections.
• Maintain fiscal records for calculations, extensions, and verifications.
• Perform billing tasks in accordance with authorization and billing policies.
• Contact patients regarding payments or payment plans as per policy.
• Manage revenue cycle, production logs, balances, and collections for self-pay clients.
• Ensure confidentiality of patient records.
• Assist with archiving discharged files.
• Respond to information requests from payers, attorneys, and others.
• Provide backup reception duties: checking in patients, collecting payments, answering phones, scheduling, and data entry.
• Perform other duties as assigned.

Qualifications:

• High school diploma or equivalent; at least 2 years’ experience in a medical office.
• Experience with Medicaid, PAC, and commercial insurance preferred.
• Excellent customer service and professional communication skills, including phone etiquette.
• Knowledge of medical insurance claims, documentation, and record maintenance.
• Proficiency in basic PC skills; Microsoft Word and Excel preferred.
• Effective oral and written communication skills.
• Self-directed with minimal supervision.
• Ability to follow oral and written instructions and work well with diverse populations.
• Ability to handle stressful situations and provide excellent customer service.
• Satisfactory drug screen and criminal background check.

Benefits:

• Competitive salary
• Comprehensive benefits: medical, dental, vision, 401(k)
• Generous paid time off
• Growth and development opportunities
• Rewarding work in opioid epidemic recovery

COVID-19 considerations:

Compliance with CDC, State, County, and City COVID guidelines required.

What to Expect:

Health Care Resource Center is a progressive organization committed to high-quality outpatient care for opioid use disorder, aiming to support long-term recovery and improved quality of life for our patients.

We are an Equal Employment Opportunity employer, complying with all applicable laws prohibiting discrimination based on race, color, age, ethnicity, gender, and other protected classes.