Patient Access Representative

Health Care Resource Centers • Chicopee, MA

429d

About The Position

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

Requirements

• 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, 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.
• Establish and maintain effective working relationships with patients, program management, medical staff, counselors and peers.
• Ability to work with a diverse population, manage stressful situations and exhibit excellent customer service skills.

Nice To Haves

• Experience with medical billing software.
• Familiarity with electronic health records (EHR).

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, including required signatures and proper account annotation.
• Ensure 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 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.
• Assist with archiving discharged files.
• 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.

Benefits

• Health insurance
• Dental insurance
• Vision insurance
• 401(k)
• Generous paid time off accrual
• Excellent growth and development opportunities

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED