Patient Representative Jobs

About The Position

Requirements

• High school diploma or equivalent.
• At least 2 years of prior experience in a medical office setting.
• Excellent customer service and professional public presentation skills, including telephone etiquette.
• Knowledge of medical insurance claims procedures, documentation, and records maintenance.
• Knowledge of medical billing procedures and ability to gather and compile data into reports.
• Proficiency in basic PC skills.
• Ability to communicate effectively, orally and in writing.
• Self-directed, with the ability to work with little supervision.
• Ability to understand and follow oral and written directions 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 provide excellent customer service.
• Satisfactory drug screen and criminal background check.

Nice To Haves

• 2–4 years of experience with Medicaid and PAC and commercial insurance.
• Microsoft Word and Excel skills.

Responsibilities

• Review, maintain, and process fiscal and account records and transactions related to patient accounts.
• Verify insurance benefits and billing information by terminal or telephone, and annotate accounts with coverage and estimated patient shares.
• Contact third-party payers, including insurance providers and state and federal agencies, regarding payment after billing.
• Resolve payment, billing, and authorization issues.
• Reconcile money collected each day.
• Forward information as appropriate to expedite payment.
• Maintain accurate accounts, including required signatures, account annotations, current demographics, and correspondence.
• Ensure completion of the pre-authorization process through inquiry and referral to a clinician.
• Monitor insurance authorizations and claim rejections.
• Maintain fiscal records and worksheets for calculations, extensions, and verifications related to assigned patient accounts.
• Perform tasks consistent with authorization and billing requirements.
• Contact patients about account payments 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 account-information requests from payers, attorneys, and others.
• Provide backup receptionist coverage as needed, including checking in patients, collecting payments, answering phones, scheduling intakes, and data entry.
• Perform other duties as assigned.

Benefits

• 401K Retirement Plan
• Accrued Sick Time
• Candidate Referral Program
• Bereavement Leave
• Jury Duty & Witness Duty Leave
• BayMark University Learning