Patient Access Represenative

BayMark Health Services - Washington, PA

Full-time - Entry Level

Washington, PA

Ambulatory Health Care Services

About the position

The Patient Access Representative at MedMark Treatment Center is responsible for managing patient billing and administrative tasks within a medical office setting. This role involves verifying insurance benefits, maintaining billing records, resolving payment issues, and ensuring compliance with authorization processes. The representative plays a crucial role in the revenue cycle management and provides excellent customer service to patients and third-party payers.

Responsibilities

• Review, maintain, and process fiscal/account records and transactions related to patients 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, including required signatures and proper account annotation.
• Insure completion of pre-authorization process by inquiry and referral to clinician.
• Monitor insurance authorizations and claim rejections.
• Maintain fiscal records and/or worksheets for all calculations related to patient accounts.
• Perform tasks consistent with authorization and billing requirements.
• Contact patients for payment of account or payment arrangements.
• Manage revenue cycle, production logs, balances and collections for self-pay clients.
• Maintain confidentiality of patient records.
• Assist with archiving discharged files.
• Respond to requests for information regarding accounts from payers and others.
• Backup Receptionist as needed.

Requirements

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

Nice-to-haves

• Experience with PAC and commercial insurance.
• Ability to work with a diverse population.
• Ability to manage stressful situations.

Benefits

• Competitive salary
• Comprehensive benefits package including medical, dental, vision and 401(K)
• Generous paid time off accrual
• Excellent growth and development opportunities
• Satisfying and rewarding work striving to overcome the opioid epidemic