Patient Access Representative | Insurance Verification

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