Patient Access Representative/Billing

The Patient Access Rep/Financial Counselor is responsible for assisting patients with all billing inquiries both face to face and over the phone.  They will help patients understand their insurance coverage and patient liability by determining eligibility, benefits, authorization, utilization requirements and expected reimbursement amounts.  They will support insurance verifications, provide estimations on out-of-pocket costs, secure payments ahead of patient appointments, and will ensure adequate coverage for service exists.  They utilize training and knowledge to interpret, explain and support the patient payment process, and consistently practice established Peak standards and expectations to achieve superior client satisfaction and retention. 

Essential Duties and Responsibilities:

• Promptly and courteously assist and provide accurate information to patients regarding their accounts or services via face-to-face interactions, email communications, and/or phone conversations. 
• Provide accurate estimates to patients prior to scheduled appointments.
• Assist patients with payment arrangements and financial applications.
• Educate patients on various available assistance options and explains financial impact of those options. 
• Serves as liaison between the practice and patient to ensure charges are applied appropriately, transactions are recorded and maintained correctly, and accounts balances and discrepancies are resolved timely.
• Generate insurance verification reports daily and verify eligibility.
• Utilize eligibility systems, on-line websites or phone calls to determine insurance benefit eligibility.
• Enter pertinent insurance information into appropriate systems.
• Complete financial analysis and collect estimated payment liabilities.
• Escalate concerns and issues to supervisor timely and consistently as necessary/needed.
• Special projects as assigned.
• Provide exceptional patient care to Peak patients by providing appropriate levels of competency and professionalism and ensuring patient issues are resolved timely, accurately and efficiently.

• High school diploma or equivalent
• Minimum of 2 years of experience in a fast-paced medical billing environment
• Experience in a health care setting required
• Comprehensive understanding of accounts receivable management in a healthcare setting.
• Proficiency in MS Office
• Familiarity with medical terminology and abbreviations

Gastro Care Partners is the national partner for successful regional gastroenterology practices. We believe in the mantra “medicine is local.” Gastro Care Partners provides high-performing regional practices with the resources necessary to thrive in today’s dynamic healthcare landscape while maintaining their practices’ identities.