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In a high-paced environment; receives inbound and makes outbound calls to patients, reviews patient accounts to answer questions, communicates payment options and assists with taking payments on the phone utilizing billing systems. Will answer questions on insurance payment and verify demographic information.
Job Responsibility:
Provides in-depth review of patient account information to answer questions regarding patient responsibility, account billing status, insurance information and charges
Summarizes and documents patient calls
Communicates and transfers information to clinics and other departments as applicable for resolution
Works patient correspondence, updates information, audits accounts and mails out requested information
Ensures all workflow items are completed within the set turn-around-time and quality expectations
Develops, maintains, and conducts standard work for complex accounts including, but not limited to, legal authorizations, probate, bankruptcy and settlement offers
Develops, maintains, and conducts standard work for daily, weekly, and monthly reconciliation of accounts placed with external collection agencies
Develops, maintains, and conducts standard work for posting adjustments and refunds for accounts
Requirements:
High school diploma (or Equivalent Certificate from an accredited program) or higher degree
Six (6) months or more of customer service and/or monetary transaction experience
Ability to communicate effectively with internal and external clients
Ability to use good judgment and critical thinking skills to identify and resolve problems
Proficient skills in MS Office software
particularly Excel and Outlook
Computer and telephone knowledge
Efficient and accurate keyboard/typing skills
Ability to exhibit a high level of professionalism with a strong work ethic and commitment to satisfaction
Functional knowledge of HIPAA rules and regulations
In-depth working knowledge of the various applications associated with the workflows
Nice to have:
Call center experience
Bilingual Spanish
Coding and billing certification
Experience with privacy laws, access and release of information