- 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.
- Reconcile daily money collected.
- 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.
- Contact patients for payment of account or payment arrangements according to current policy.
- Manage revenue cycle, production logs, balances and collections for self-pay clients.
- Maintain confidentiality of patient records.
- Assists with archiving discharged files, including archiving
- Respond appropriately to requests for information regarding accounts from payer, attorney, and others.
- Backup Receptionist as needed by: Checking in patients, collecting payments, answering phones, scheduling intakes, and data entry.
- Other duties, as assigned.
- High school diploma or equivalent with at least 2 years' prior experience in a medical office setting.
- 2-4 years' experience with Medicaid and 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, gather and compile 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.
- 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
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Patient Access Representative
3 weeks ago
COMMUNITY HEALTH CENTER OF CAPE COD Falmouth, United States**Experienced Medical Office Professional**s** needed to join our growing Patient Care Team**** · **What you will do**: · Verify accurate demographic and insurance information to register and welcome new and existing patients. · Collect co-pays, reconcile payments and assist with ...
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Patient Access Representative
4 days ago
UnitedHealth Group South Portland, United StatesOpportunities at Northern Light Health , in strategic partnership with Optum. Whether you are looking for a role in a clinical setting or supporting those who provide care, we have opportunities for you to make a difference in the lives of those we serve. As a statewide health ca ...
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Patient Access Representative
3 weeks ago
UnitedHealth Group South Portland, United StatesOpportunities at Northern Light Health, in strategic partnership with Optum. Whether you are looking for a role in a clinical setting or supporting those who provide care, we have opportunities for you to make a difference in the lives of those we serve. As a statewide health car ...
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Patient Access Representative
3 weeks ago
UnitedHealth Group South Portland, United StatesOpportunities at Northern Light Health, in strategic partnership with Optum. Whether you are looking for a role in a clinical setting or supporting those who provide care, we have opportunities for you to make a difference in the lives of those we serve. As a statewide health car ...
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Patient Access Representative
14 hours ago
Optum South Portland, United States**Opportunities at Northern Light Health**, in strategic partnership with Optum. Whether you are looking for a role in a clinical setting or supporting those who provide care, we have opportunities for you to make a difference in the lives of those we serve. As a statewide health ...
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BayMark Health Services Portland, United States Full timeJob Description · Full Time Patient Access Representative / Patient Account Representative Health Care Resource Center is looking for hard-working and conscientious Patient Access Representative / Patient Account Representative to perform various administrative tasks with a keen ...
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BayMark Health Services Portland, United States Full timeJob Description · Full Time Patient Access Representative / Patient Account Representative Health Care Resource Center is looking for hard-working and conscientious Patient Access Representative / Patient Account Representative to perform various administrative tasks with a keen ...
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Human Resources Specialist
3 weeks ago
US Defense Logistics Agency New Cumberland, United States**Duties**: · - As a Human Resources Specialist your duties will be performed in a developmental capacity under the guidance of a higher graded specialist or supervisor and will include, but may not be limited to: · - Providing a range of human resources (HR) services in one or m ...
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Community Health Worker
2 weeks ago
UPMC Cumberland, United States**UPMC Western Maryland has an exciting opportunity for a Community Health Worker based in Cumberland, MD** · This is a regular, full-time position working Monday-Friday dayshift. · **Responsibilities**: · - Flexibility in schedule to meet members' need. · - Provides telephonic a ...
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Admissions Associate
2 weeks ago
First Atlantic Healthcare South Portland, United StatesThis position is hybrid with periodically working from facilities. · Schedule: · - Monday - Friday 8 am-5 pm · - On-call weekend and holidays · Job Duties: · - Data entry and communication with insurance companies. · - Work with Hospital Case Managers to admit patients to facilit ...
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Store Manager
6 days ago
Circle K Falmouth, United StatesGreat Lakes BU - Region 06 - Market 04: 65 Gray Rd, West Falmouth, Maine 04105 · **Availability - Shift/Days**: · Flexible Availability · **ESSENTIAL DUTIES**: · **_ The position includes, but is not limited to, the following essential job duties, responsibilities and requirement ...
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Help Desk Technician
2 days ago
Dead River Company South Portland, United States**Join Our Team · - **_Find Your Future_** · Dead River Company delivers energy and peace of mind to customers throughout Northern New England and New York with over 1,700 employees and a commitment to our core values of integrity, caring, and excellence. · The I.T. Help Desk Tec ...
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Supply Management Specialist
1 day ago
US Defense Logistics Agency New Cumberland, United States**Duties**: · - Understands policy and offers advice to distribution center commanders. · - Gathering and analyzing supply operational data to develop, provide and explain/justify recommendations as a team member on projects · - Performs management improvement studies, collects d ...
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Test Administrator
2 weeks ago
Pearson Westbrook, United StatesPearson VUE is a business of Pearson, the world's leading learning company with global-reach and market-leading businesses. Pearson is listed on both the London and New York stock exchanges (UK: PSON; NYSE: PSO). · Pearson VUE offers a great environment to start or grow your care ...
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T-Mobile Retail Sales Associate
6 days ago
Verge Mobile Falmouth, United States PermanentOverview · $1,200 New Hire Bonus plus paid Training · As a Retail Mobile Sales Associate with Verge Mobile, you will be connecting with customers and delivering exceptional customer service by selling T-Mobile products and services to our current and potential customers. This i ...
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ProSearch Portland, United StatesBusy Portland healthcare group is looking for a 12 week Marketing Event Coordinator. This is a great opportunity to expand your marketing/event experience, while making an impact on our clients customer base.The Marketing Event Coordinator is responsible for the setup, execution, ...
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Body Shop Technician II
4 days ago
Fleet Jobs South Portland, United StatesPosition Summary: · Ready to move your career forward? As a Body Shop Technician with Penske, you'll perform diagnostic procedures and truck and trailer collision repairs, and with supervision some major suspension, electrical, painting and welding repairs too. All while enjoying ...
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Member Service Phone Representative
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Town & Country Federal Credit Union Scarborough, United States**Member Service Phone Representative** · We are looking for a highly motivated individual interested in joining one of the most innovative Maine-based financial institutions. You will have the opportunity to empower members to better manage their personal finances and be part of ...
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Body Shop Technician III
4 days ago
Fleet Jobs South Portland, United StatesPosition Summary: · As a Body Shop Technician with Penske, you'll perform minor truck and trailer collision repairs, and with supervision some major repairs too. All while enjoying the advantages of working for a winning team that's got your back. You'll use industry-leading tech ...
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Body Shop Technician III
3 days ago
Fleet Jobs South Portland, United StatesPosition Summary: · As a Body Shop Technician with Penske, you'll perform minor truck and trailer collision repairs, and with supervision some major repairs too. All while enjoying the advantages of working for a winning team that's got your back. You'll use industry-leading tech ...