Full Time Patient Access Representative/Fiscal Clerk - SOR3 Grant

at  BAART Programs

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.

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

• 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.