Patient Services Representative

Autism Services Center is a behavioral health agency founded in 1979. We are a larger employer having more than 380 employees and offering 24 hour care in some locations.

Qualifications:

• Minimum High School Diploma plus a minimum of two years prior related experience
• Experience with insurance verification, benefit eligibility, insurance authorization, insurance billing, payment posting, accounts receivable
• Proficient in Microsoft Office products (i.e., Word, Excel)
• Strong analytical and mathematics skills
• Ability to work independently, and adapt to changing procedures and conditions
• Must work well under stressful situations to meet deadlines
• Must be able to establish and maintain excellent rapport with all ASC staff and communicate in a professional manner with not only ASC staff but those outside of the agency

Patient Account Representative

• Screen outpatient behavioral health referrals for insurance eligibility, coordination of benefits, coverage of requested services and prior authorization requirements.
• Contact third party payors to obtain prior authorizations for ordered services for all ASC Therapies patients via fax, phone, email, or vendor portal
• Review and prepare chart documents to accompany physician order and authorization requests.
• Obtain additional prior authorizations as needed
• Monitor authorization timelines, approved units, and expiration dates to prevent service interruptions and potential denied claims
• Communicate authorization approvals, denials, and follow-up needs to clinical, billing, and operational staff
• Prepare and submit claims accurately using Electronic Medical Record (EMR) and Electronic Health Record (EHR) systems, ensuring compliance with all applicable guidelines.
• Follow up on unpaid or denied claims through effective medical collection strategies, resolving discrepancies promptly.
• Maintain detailed records of billing activities, claim submissions, adjustments, and payments for audit readiness.
• Complete upload of payment files, electronically and/or manually post cash payments to clients’ ledgers
• Research all outstanding accounts receivable balances and rebill as needed
• Other duties as assigned

Job Type: Full-time

Pay: $16.64 - $17.37 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Physical Setting:

• Office

Experience:

• related : 2 years (Required)

Ability to Commute:

• Huntington, WV 25701 (Required)

Work Location: In person