Description

FT; Mon - Fri/ 8:00 am- 5:00 pm

We re searching for a Billing Customer Service Representative Interact with customers to provide and process information in response to inquiries, concerns and requests. Responsible for successfully resolving all patient inquiries received via telephone, in-person visit or in a written format. Provides financial counseling to patients as needed.

ESSENTIAL FUNCTIONS

• Interacts with customers to answer questions and concerns regarding patient accounts. Maintain a balance between company policy and customer benefit in decision making. Handle issues in the best interest of both customer and organization.
• Resolves service problems by :
• Clarifying the customers complaint or inquiry
• Determining the cause of the problem
• Selecting and explaining the best resolution
• Expedites corrections and/or adjustments
• Provides follow-up to ensure resolution or directs to the appropriate area for resolution
• Records details of inquiries, comments and complaints as well as action taken
• Process patient payments using Epic or Passport; verifying credit/debit card approval
• Assists customers with financial counseling including community resources, setting up payment plans, Medicaid, and/or financial assistance programs.
• Facilitates effective communications with patients and/or their representatives. Educate the customer where applicable to prevent the need for future contacts regarding making payments, understanding their benefits, understanding standard billing practices, etc.
• Work with outsource collection agencies activity and follow up; as well as works with patients and parents to resolve issues from accounts being in collection status.
• Complies with Federal and State billing requirements. Also complies with Health Information Portability and Accountability Act (HIPAA) and Electronic Data Interface (EDI) transaction formats.

KNOWLEDGE, SKILLS AND ABILITIES

• Highly developed sense of integrity and commitment to customer satisfaction.
• Demonstrated passion for excellence with respect to treating and caring for customers
• Organized, self-motivated, and able to work independently of direct supervision to carry out responsibilities
• Knowledge of customer services principles and practices
• Knowledge of hospital and professional billing, collection and reimbursement requirements and standard practice.
• Ability to review, interpret and understand managed care contracts with third-party payors.
• Intermediate computer skills including the use of spreadsheet programs and word processing programs.
• Strong interpersonal skills with attention to detail and ability to organize, interpret, and present data.
• Excellent oral and written communication skills and demonstrated ability to communicate

EDUCATION AND EXPERIENCE

• High School diploma or GED equivalent required.
• Minimum 3 year of experience in customer service or help desk capacity required.
• Minimum 1 year of experience working with commercial or government billing and reimbursement processes required.
• Associate s degree in Billing, Coding, or HIM preferred

EOE/Vets/Disabled