Patient Access Representative | Insurance Verification
$21 - $22.75 per hourMadison Approach
Job Description
Job Description
Patient Accounts Representative
Job Type: Temporary (12-Month Assignment)
Pay Rate: $21.00-$22.75/hour
Location: Hawthorne, NY | On-site, Full-Time | Monday-Friday, 8:00 AM - 4:30 PM
Job Overview
Madison Approach Staffing is recruiting for a Patient Accounts Representative to support our client's Patient Accounts department within a large healthcare network. This role serves as a key point of contact for patients regarding insurance and billing matters, performing insurance verification, pre-authorizations, medical clearance, collections, self-pay processing, and Medicare/Medicaid account handling. The ideal candidate is detail-oriented, comfortable working directly with patients and insurance carriers, and able to navigate a fast-paced healthcare billing environment with accuracy and professionalism.
Job Responsibilities
- Verify patient insurance coverage and eligibility for inpatient and outpatient services
- Obtain pre-authorizations and pre-certifications from insurance carriers prior to scheduled services
- Perform medical clearance/financial clearance functions to ensure accounts are ready for billing prior to or at time of service
- Contact patients regarding outstanding balances, insurance discrepancies, and billing questions
- Work assigned collections work queues, following up on unpaid or aging accounts
- Process self-pay accounts, including explaining financial responsibility and available payment options
- Screen and process Medicare and Medicaid accounts in accordance with applicable federal and state guidelines
- Accurately enter and update patient demographic and insurance information in the hospital system
- Review accounts for accuracy and resolve discrepancies to support timely, accurate billing
- Maintain compliance with HIPAA regulations regarding patient privacy and confidentiality
- Communicate professionally and empathetically with patients regarding sensitive financial matters
- Perform other related administrative duties as assigned
Skills/Experience Requirements
- High school diploma or GED required
- Minimum 1-2 years of experience in healthcare billing, patient accounts, insurance verification, or a related revenue cycle role
- Working knowledge of medical insurance terminology, including Medicare and Medicaid guidelines
- Experience with insurance verification, pre-authorization, and/or collections processes
- Strong data entry skills with high attention to detail and accuracy
- Excellent verbal and written communication skills
- Ability to handle sensitive financial conversations with patients professionally and tactfully
- Proficiency with computer systems, including data entry and basic office software
Skills/Experience Preferences
- Associate degree in healthcare administration, business, or related field
- Prior experience in a hospital or large healthcare network setting
- Familiarity with Cerner Millennium or similar hospital registration/billing systems
- Knowledge of CPT/ICD coding as it relates to billing and insurance authorization
- Bilingual candidates encouraged to apply
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Vacancy posted 4 days ago
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