Full Time Patient Access Representative/Fiscal Clerk - SOR3 Grant

Company: BayMark Health Services
Location: Fresno
Posted on: May 28, 2023

Job Description:

Description

Patient Account Rep/Fiscal Clerk - SOR3 Hub and Spoke Grant

BAART Programs is looking for hard-working and conscientious Patient Account Representative / Fiscal Clerk to perform a variety of complex clerical and accounting functions specifically related to work with patients and the treatment center for the SOR3 grant.

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.
• Completes patient income verifications to determine grant eligibility.
• 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.
• Maintain concurrent authorizations as needed.
• Contact patients for payment of account or payment arrangements according to current policy.
• Prepare weekly production logs for self-pay clients.
• Track self-pay balances.
• Prepare self-pay administration detox list.
• Prepare late notices for delinquent accounts.
• Maintain confidentiality of patient records.
• Respond appropriately to requests for information regarding accounts from payer, attorney, and others.
• Track/monitor authorizations from insurance company/third party.
• Ability to handle stressful situations and interact with others.
• Must be present during working hours at the office for in person meetings and access to a computer without violating company policy.
• Builds blank patient files for new admissions.
• Assists in obtaining and following up on patient histories from other NTP's.
• Backup Receptionist as needed by: Checking in patients, collecting payments, answering phones, scheduling intakes, and data entry.
• Reconcile daily money collected.
• Assists with archiving discharged files, including archiving
• Conduct follow up calls.
• Assist with various administrative duties, as assigned by Treatment Center Director.
• Checks insurance eligibility, when applicable
• Support organizational and departmental philosophies, goals, and objectives and through own behavior lead and motivate others to do so.
• Keeps appropriate records as required by Company protocol and Federal and State Regulations.
• Assists in obtaining and following up on patient histories from other NTP's.
• Support organizational and departmental philosophies, goals, and objectives and through own behavior lead and motivate others to do so.
• Completes grant required data collection.
• Submits grant required reports on time to the Treatment Center Director for review.
• Track grant transportation funds.
• Other duties, as assigned.
  Qualifications:
  
  • Minimum age requirement of 18
  • High school diploma or equivalent with at least 2 years prior experience in a medical office setting.
  • Excellent customer service skills and professional public presentation skills, including telephone etiquette.
  • Knowledge of medical insurance claims procedures and documentation.
  • Knowledge of medical billing procedures.
  • Proficient in basic PC skills. Microsoft Word and Excel preferred.
  • Ability to maintain routine records and communicate effectively, both orally and in writing.
  • Interpersonal skills that promote interdisciplinary collaboration and effective communication.
  • Satisfactory references from employers and/or professional peers.
  • Satisfactory criminal background check.
  • Self-directed with the ability to work with little supervision.
  • Flexible and cooperative in fulfilling all obligations.
  • 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 and exhibit excellent customer service skills.
  • Satisfactory references from employers and/or professional peers
  • Satisfactory drug screen and criminal background check
    Salary Range:
    
    Salary ranges from $16.00 - $17.07 an hour.
    
    The salary of the candidate(s) selected for this role will be set based on a variety of factors, including but not limited to, experience, education, specialty and training.
    
    BayMark offers excellent benefits:
    
    • 401K match
    • Medical, Dental, Vision Insurance
    • Accident Injury, Hospital Indemnity and Critical Illness Plans
    • Company paid Short & Long Term Disability
    • Company paid Basic Life Insurance
    • Paid Time Off
    • Bereavement Leave
    • Flexible Sick Time
    • Employee Referral Program
      Total compensation goes beyond the value on the paycheck. Please consider the total compensation package by contacting us at BayMark Health Services for more information.
      
      COVID-19 considerations:
      
      Everyone will be asked to be in compliance with the most recent COVID guidelines from CDC, State, County and City.
      
      Here is what you can expect from us:
      
      BAART Programs, a progressive substance abuse treatment organization, is 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.
      
      BAART Programs is committed to Equal Employment Opportunity (EEO) and to compliance with all Federal, State and local laws that prohibit employment discrimination on the basis of race, color, age, natural origin, ethnicity, religion, gender, pregnancy, marital status, sexual orientation, citizenship, genetic disposition, disability or veteran's status or any other classification protected by State/Federal laws.
      
      ***SOR3 Hub and Spoke Grant projected end date June 30, 2024***

Keywords: BayMark Health Services, Fresno , Full Time Patient Access Representative/Fiscal Clerk - SOR3 Grant, Other , Fresno, California