Patient Access Representative

About the Role

MedMark Treatment Center is seeking a full-time Patient Access Representative / Patient Account Representative to perform various administrative tasks with attention to detail. The role primarily focuses on patient billing, insurance verification, and account management.

Responsibilities

• Review, maintain, and process fiscal/account records and transactions related to patient’s accounts.
• Verify insurance benefits and billing information via 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, billing, and authorization processes.
• Reconcile daily money collected.
• Forward information as appropriate to expedite payment.
• Maintain accurate accounts, including required signatures, proper account annotation, current demographics, and correspondence.
• Ensure completion of pre-authorization processes by inquiry and referral to clinicians.
• Monitor insurance authorizations and claim rejections.
• Maintain fiscal records and/or worksheets for calculations, extensions, and verifications related to assigned patient accounts.
• Perform tasks consistent with authorization and billing requirements.
• Contact patients for payment of accounts 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 to requests for information regarding accounts from payers, attorneys, and others.
• Backup Receptionist as needed: check in patients, collect payments, answer phones, schedule intakes, and perform data entry.
• Perform 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, 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 and data compilation into reports.
• Proficiency in basic PC skills; Microsoft Word and Excel preferred.
• Effective communication skills, both oral and written.
• Self-directed with the ability to work with little supervision.
• Ability to understand and follow oral and written directions.
• Ability to 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

• 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

About Us

MedMark Treatment Center is a progressive substance abuse treatment organization committed to the highest quality of patient care in a comfortable outpatient clinic setting. Our ultimate goal is to address the physical, emotional, and mental aspects of opioid use disorder to help each of our patients achieve long-term recovery and an improved quality of life.