**Please Note: At least 1 year of recent patient access experience is required to qualify for this position. Candidates without this experience will not be considered. **
Start Date: July 1st, 2024
Duration: Contract-to-hire opportunity. 1040 total hours, with an opportunity for conversion to permanent after completing 1040 hours worked from the start date if meeting attendance and performance expectations.
Location: 100% Remote
Schedule:
- Regular Hours: Monday-Friday, 40-hour work week, 8-hour days.
- Training Period: Monday-Friday, Central Time (CT) 8am-4:30pm.
- Post-Training Schedule: Dependent on assigned region/facility.
Compliance Requirements:
- Background check
- Education Verification (high school diploma/GED required)
- Drug Screening (9-panel, including THC)
- HIPAA training
Pay Rate: $16-21/hour, depending on experience.
Official Job Responsibilities and Duties
- Patient Information Management:
- Review mom and baby hospital face sheets to confirm and update medical record numbers and patient identity for EMR submission.
- Pull patient face sheets from hospital systems, compare information with face sheets, and enter data into the patient billing system (demographics, medical records numbers, insurance information).
- Insurance Verification:
- Perform insurance verification, correct discrepancies, and add referring providers using GMPS.
- Validate CPT codes from providers by emailing physicians for verification.
- Communication and Documentation:
- Compose emails to providers to confirm information on medical records and validate missing CPT codes.
- Notify patients, guarantors, family members, physicians, and/or supervisors of insurance coverage issues, documenting all information in the computer system.
- Maintain positive customer service and refer unresolved issues to the appropriate supervisor.
- Reconciliation and Compliance:
- Complete daily and weekly hospital admission reconciliations.
- Initiate medical record requests with the coding department.
- Verify required signatures on legal consents and insurance forms, and add/edit insurance information.
- Confirm insurance coverage and benefits using real-time eligibility software, mapping insurances to the correct plan codes.
- Enter/edit data in the computer and thoroughly document any incomplete admissions/registrations as prescribed.
- Review Physician's orders (Service date, CPT/DX codes) for unbilled encounters, ensuring all required information is listed.
- Demonstrate knowledge of all Federal, State, and Local laws pertaining to insurance rules and regulations.
- Comply with all safety regulations, policies, and procedures as defined by the customer.
Day-to-Day Responsibilities (Summary)
- Log into hospital systems to pull patient face sheets and compare patient information before entry into the billing system.
- Work heavily in GMPS for insurance verification, correcting discrepancies, and adding referring providers.
- Validate CPT codes from providers and verify codes by emailing physicians.
- Compose emails to providers to confirm information on medical records and validate missing CPT codes.
- Complete daily reconciliation (census for hospitals).
- Initiate medical record requests with the coding department.
- Obtain insurance plan codes from payer portals if RTE is not provided.
Job Requirements
- Experience: At least 1 year of recent patient access experience.
- Technical Skills: Tech-savvy with a strong ability to navigate computers and learn software.
- Work Environment: Quiet, dedicated, distraction-free home workspace that is HIPAA compliant.
- Insurance Knowledge: Understanding of insurance payers (HMO, PPO, verification of eligibility).
- Multi-tasking: Experience working in at least five systems on a day-to-day basis.
- Remote Work: Previous experience working remotely is highly preferred.
Required Compliance (if hired)
- Background check
- Drug screening (9-panel, including THC)
- Education Verification (high school diploma or equivalent required)
- HIPAA training