Customer Service Representative

Role Overview

• Responsible for accurate and timely resolution of patient’s billing concerns.
• Implement collection policies and procedures.
• Interview and counsel patients for payment arrangements and/or charity assistance.
• Work with patients to resolve account balances.
• Accurately posts data (payments, adjustments) as needed.
• Communicates problems hindering work flow to management.
• Resolves patient billing and third-party payer concerns.
• 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.
• One (1) year experience in a healthcare setting.
• One (1) year previous customer service experience.
• Professional Interactions at all times.
• Excellent oral and written communication skills.
• Knowledge of medical terminology preferred.
• Knowledge of ICS-9 and CPT coding preferred.
• Ability to use tact and diplomacy in dealing with others.
• Demonstrated customer service relations.
• Analytical skills necessary for problem solving.
• Knowledge of Fair Debt Collection Act.
• Specialized courses or seminars over and above high school that are directly related to collections, medical field, hospital business office setting.
• 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.
• 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.

Benefits

• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.