Patient Access Representative

Job Description

The Patient Access Representative is responsible for performing billing, collections, and reimbursement services, ensuring all required financial and demographic information is secured. The role involves monitoring, follow-up, and research of patient accounts to maintain accurate records while providing courteous and professional customer service at all times.

Responsibilities

• Ensure all required financial and demographic information is secured.
• Monitor, follow-up, and research assigned patient accounts to maintain accurate records.
• Provide courteous and professional customer service.
• Review erroneous claims and research commercial guidelines for corrections and adjustments.
• Respond to patient and insurance company complaints, analyze charges and billing errors.
• Contact clinical departments to resolve claim issues and ensure claim integrity.
• Provide updates to management regarding errors, payer issues, and registration problems.
• Maintain active knowledge of governmental regulations for claims submission.
• Implement governmental billing changes such as Medicare OPPS.
• Research governmental requirements for claims submission.
• Collect balances owed from third-party payers in accordance with laws.
• Maintain knowledge of billing and reimbursement requirements by payer.
• Stay updated on revised billing and reimbursement practices to ensure compliance.

Essential Skills

• Proficiency in EMR systems, such as Cerner.
• Medical Assistant certification.
• Knowledge of phlebotomy and catheter procedures.
• Billing and insurance reimbursement expertise.

Additional Skills & Qualifications

• Minimum of two years' experience in billing, collections, and reimbursement verification for government or commercial insurances.
• Knowledge of hospital accounts receivable accounts.
• A college education, insurance company claims experience, or healthcare billing experience may substitute for hospital experience.

Job Type & Location

This is a Contract position based out of Memphis, TN.

Pay And Benefits

The pay range for this position is $17.50 - $17.50/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: Medical, dental & vision Critical Illness, Accident, and Hospital 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available Life Insurance (Voluntary Life & AD&D for the employee and dependents) Short and long-term disability Health Spending Account (HSA) Transportation benefits Employee Assistance Program Time Off/Leave (PTO, Vacation or Sick Leave)

About Actalent

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 20,000 consultants and 5,000 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. We are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing® winner for both client and talent service. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.