Patient Navigator/Patient Outreach

About the role

BAART Programs is seeking a detail-oriented Patient Access Representative / Patient Account Representative to perform various administrative tasks related to patient billing and account management.

Responsibilities

• Review, maintain, and process fiscal/account records and transactions related to patient 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, including the authorization process.
• Reconcile daily money collected and forward information to expedite payment.
• Maintain accurate accounts, including required signatures, proper account annotation, current demographics, and correspondence.
• Ensure completion of the pre-authorization process by inquiry and referral to clinicians.
• Monitor insurance authorizations and claim rejections.
• Maintain fiscal records and worksheets for all 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 appropriately to requests for information regarding accounts from payers, attorneys, and others.
• Serve as backup Receptionist: check in patients, collect payments, answer phones, schedule intakes, and perform data entry.
• Perform other duties as assigned.

Requirements

• 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, including gathering and compiling 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.

Pay

Salary ranges from $20.18 to $21.18 an hour. The salary will be set based on factors including experience, education, specialty, and training.

Benefits

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

Total compensation goes beyond the value on the paycheck. Contact BayMark Health Services for more information.