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Patient Access Representative - Jamaica Plain Massachusetts
Company: BayMark Health Services
Location: Jamaica Plain, Massachusetts
Posted On: 05/08/2025
Description Full Time Patient Access Representative / Patient Account Representative Health Care Resource Center is looking for hard-working and conscientious Patient Access Representative / Patient Account Representative to perform various administrative tasks with a keen eye for detail. - The patient account representative is primarily responsible for patient billing, including verification of invoice information, maintenance of third party billing records, and resolution of a variety of problems. -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. -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.
- 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.
- Satisfactory drug screen and criminal background check. -Benefits:
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