Customer Service Representative PFS

WVU Medicine is part of the West Virginia University Health System, and they are seeking a Customer Service Representative to resolve patient billing concerns and implement collection policies. The role involves interviewing patients for payment arrangements and assisting with account balance resolutions.

Responsibilities:

• Accurately posts data (payments, adjustments) as needed
• Communicates problems hindering work flow to management
• Resolves patient billing and third party payer concerns
• Interviews & Counsels patients for payment arrangements and/or charity assistance
• Answers patient questions quickly, accurately, and courteously
• Accurately identifies and screens Medicare charity within established guidelines
• Rebills accounts as necessary
• Works with patients to resolve account balances

Requirements:

• High school diploma or equivalent
• Accurately posts data (payments, adjustments) as needed
• Communicates problems hindering work flow to management
• Resolves patient billing and third party payer concerns
• Interviews & Counsels patients for payment arrangements and/or charity assistance
• Answers patient questions quickly, accurately, and courteously
• Accurately identifies and screens Medicare charity within established guidelines
• Rebills accounts as necessary
• Works with patients to resolve account balances
• Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, grasping, and feeling are necessary body movements utilized in performing duties throughout the work shift
• Visual acuity must be within normal range
• Must be able to exert in excess of 50 lbs. of force occasionally, and/or up to 25 pounds of force frequently, and/or up to 10 pounds for force constantly to move objects
• Must have manual dexterity to operate keyboards, fax machines, telephones, and other business equipment
• Exposed to high stress and constant interruptions
• Normal business office surroundings
• Professional Interactions at all times
• Excellent oral and written communication skills
• Ability to use tact and diplomacy in dealing with others
• Demonstrated customer service relations
• Analytical skills necessary for problem solving
• General knowledge of third party payers, collection laws, and collection procedures required
• Excellent telephone communication skills
• Working knowledge of computer including Microsoft Word and Excel
• Demonstrates the knowledge and skills necessary to communicate to all patients per the established age specific education/standard
• Maintains current knowledge of Medicare reimbursement process and audit regulations
• Understands the UB92/1500 bill forms contents and EOMB's
• Ability to understand written and oral communication
• One (1) year experience in a healthcare setting
• One (1) year previous customer service experience
• Knowledge of medical terminology preferred
• Knowledge of ICS-9 and CPT coding preferred
• Specialized courses or seminars over and above high school that are directly related to collections, medical field, hospital business office setting