Patient Access & Revenue Cycle Specialist

Health Care Resource Centers; Greenfield (MA); On-site; USD 29,000 - 34,000; Full time

Benefits offered by this job

401K match

Medical, Dental, Vision Insurance

Paid Time Off

Short & Long Term Disability

Basic Life Insurance

Paid Time Off

Job summary

Health Care Resource Center is seeking a Patient Access Representative / Patient Account Representative to perform administrative duties, with a focus on patient billing, account management, and insurance verification. The role emphasizes accuracy, attention to detail, and professional communication with payers and patients.

The candidate should have a high school diploma and 2+ years in a medical office, with 2–4 years in Medicaid, PAC, and commercial insurance preferred.

Qualifications

• High school diploma or equivalent with at least 2 years’ prior experience in a medical office setting.
• 2-4 years’ experience with Medicaid and PAC and commercial insurance (preferred)
• Excellent customer service skills and professional public presentation skills, including telephone etiquette.
• Knowledge of medical insurance claims procedures, documentation and records maintenance.
• Knowledge of medical billing procedures, gather and compile data into reports.
• Proficient in basic PC skills. Microsoft Word and Excel preferred.
• Ability to communicate effectively, both orally and in writing.
• Self-directed with the ability to work with little supervision.

Responsibilities

• Review, maintain, and process fiscal/account records and transactions related to patient’s accounts.
• Verify insurance benefits and billing information by terminal and/or telephone. Annotate accounts with insurance coverage and estimated patient shares.
• Contact third party payers for payment post billing.
• Resolve issues with payment and billing, authorization process.
• Reconcile daily money collected.
• Forward information as appropriate to expedite payment.
• Maintain accurate accounts, i.e. required signatures, proper account annotation, current demographics, and correspondence.
• Insure completion of pre-authorization process by inquiry and referral to clinician.
• Monitor insurance authorizations and claim rejections.
• Maintains fiscal records and/or worksheets for all calculations, extensions, and verifications related to record keeping for assigned patient’s accounts.
• Perform tasks consistent with authorization and billing requirements.
• Contact patients for payment of account or payment arrangements according to current policy.
• Manage revenue cycle, production logs, balances and collections for self-pay clients.
• Maintain confidentiality of patient records.
• Assists with archiving discharged files, including archiving
• Respond appropriately to requests for information regarding accounts from payer, attorney, and others.
• Backup Receptionist as needed by: Checking in patients, collecting payments, answering phones, scheduling intakes, and data entry.

Skills

Customer service

Telephone etiquette

Effective communication

Self-directed

Ability to work under pressure

Education

High school diploma or equivalent

Tools

Microsoft Word

Microsoft Excel

Job description

Health Care Resource Center is seeking a Patient Access Representative / Patient Account Representative to perform administrative duties, with a focus on patient billing, account management, and insurance verification. The role emphasizes accuracy, attention to detail, and professional communication with payers and patients.

The candidate should have a high school diploma and 2+ years in a medical office, with 2–4 years in Medicaid, PAC, and commercial insurance preferred.