About the Role (HOSPITAL AND BILLING EXPERIENCE IS REQUIRED)

The Customer Service Representative is responsible for answering all incoming telephone calls, responding to patient emails, correspondence, and messages in order to resolve patient issues and concerns. The representative is responsible for processing patient credits and payments as well as reconciling patient accounts during call downtime. This position is responsible for assisting walk-in patients in order to resolve patient account issues and concerns.

This representative is responsible for answering all incoming telephone calls, responding to patient emails, correspondence, and messages in order to resolve patient issues and concerns. The representative is responsible for processing patient credits and payments as well as reconciling patient accounts during call downtime. This position is responsible for assisting walk-in patients in order to resolve patient account issues and concerns.

Not fielding calls, they are speaking on billing inquiries and need to be more knowledgeable and know where to find answers
Need Hospital billing experience and exposure to EPIC is a plus
HB billing
Opportunity to be remote, hybrid or on-site after successful training and consistently meeting KPI’s (could be 6 months – 1 year)

Responsibilities

Responsible for answering all incoming telephone calls in a proficient manner with resolution in the shortest amount of time possible
Responsible for assisting walk-in patients in resolving patient account issues
Responsible to communicate with patients to obtain accurate information and update EMR system accordingly
Responsible to assure accounts are properly updated and sent to insurance companies when updated information has been received or obtained
Recodes accounts by insurance carrier and plan numbers to assure proper billing
Responsible for responding to patient emails, voicemails, and correspondence and resolving issues as necessary
Responsible to escalate to management issues as identified
Completes charge adjustments and allowances entries on accounts as needed
Processes rejections on third party accounts
Responsible for reviewing laser statements during call downtime and initiating third party billing to the appropriate insurance based on information provided by patient on the laser statement
Review and reconciliation of patient overpayments
Responsible for processing patient payments and researching discrepancies
Performs all other related duties as assigned
Understands and adheres to the WPH performance standards, policies and behaviors

Qualifications

High School Diploma required
Customer service experience required
Clerical experience required
Minimum of one to two year’s-experience in a hospital setting
Knowledge of third-party billing and reimbursement
Ability to use basic office equipment and knowledge of computers
Effective 12/1/2022 the HBI (Healthcare Business Insights) one time certification course is required and must be completed during the onboarding period and prior to start date.

Required Skills

Ability to cooperate with others
Must be able to speak, write understand and communicate the English language
Effectively communicate with internal and external customers
Retains composure under stress
Integrity to handle the confidential aspects of work

Pay range and compensation package

Salary Range: $53,840.67-$80,782.07

LevelUP HCS

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