Patient Access & Revenue Cycle Specialist

BAART Programs; Los Angeles (CA); On-site; USD 26,000 - 30,000; Full time

Benefits offered by this job

401K match

Medical, Dental, Vision Insurance

Accident Injury, Hospital Indemnity

Company paid Short & Long Term Disabl.

Company paid Basic Life Insurance

Paid Time Off

Bereavement Leave

Flexible Sick Time

Employee Referral Program

Job summary

BAART Programs is seeking a meticulous Patient Access Representative / Patient Account Representative to manage patient billing, verify insurance, and handle billing inquiries. The role involves maintaining records, ensuring proper authorizations, and coordinating with payers to expedite payments.

The ideal candidate has a high school diploma with 2–4 years in medical billing/payments, strong customer service, and proficient PC skills (Word/Excel). A commitment to confidentiality is essential.

Qualifications

• High school diploma or equivalent.
• 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 (insurance providers and state/federal agencies) 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.
• Other duties, as assigned.

Skills

Customer service

Telephone etiquette

Communication skills

Excel

Microsoft Word

Medicaid

PAC and commercial insurance

Background check

Education

High school diploma or equivalent

Tools

Microsoft Word

Excel

Job description

BAART Programs is seeking a meticulous Patient Access Representative / Patient Account Representative to manage patient billing, verify insurance, and handle billing inquiries. The role involves maintaining records, ensuring proper authorizations, and coordinating with payers to expedite payments.

The ideal candidate has a high school diploma with 2–4 years in medical billing/payments, strong customer service, and proficient PC skills (Word/Excel). A commitment to confidentiality is essential.