Patient Accounts Customer Services Representative I
Patient Accounts Customer Services Representative I
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
General Summary
Represents the System in a professional manner using good customer service practices in the performance of the following duties: answers calls in a call center phone queue environment to assist callers with various requests concerns and inquiries. Responsible for processing payments establishing payment plans adding/billing insurance information and maintenance of patient accounts. Performs a variety of functions including but not limited to account followup answering inquiries resolving problems and interacting with patients authorized representatives and insurance companies to achieve payment of accounts in accordance with current government and payer regulations.
Responsibilities
Duties and Responsibilities
Remote Work Capable
Essential Functions:
- Ensures accurate financial and biographical information has been obtained and properly entered into the appropriate records and systems according to HIPAA and privacy standards.
- Performs various functions to complete and expedite the billing process including but not limited to recording patient identification data investigating charges correcting and updating data preparing the claim to bill and updating computer functions.
- Reviews accounts and coordinates with appropriate departments on accounts requiring precertification preauthorization referral forms and other requirements related to managed care.
- Takes appropriate corrective action to include: follow up rebilling and/or adjustments according to policy and governmental regulations.
- Answers all inquiries regarding patient accounts.
- Interprets and explains to patients or authorized representatives the charges services and hospital policy regarding payment of bills.
- Resolves billing problems and/or receives insurance updates.
- Processes and distributes copies of billings as required.
- Enters data electronically into the patients account verifies account balances reviews electronic insurance remits and patient payments processes electronic payments over the phone.
Common Expectations:
- Types and/or compiles correspondence and reports photocopies information files information answers the telephone takes messages and directs calls.
- Prepares and maintains records of patient charges.
- Maintains appropriate records reports and files as required.
- Maintains established policies and procedures objectives quality assessment safety environmental and infection control standards.
- Participates in educational programs and inservice meetings.
- Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.
Qualifications
Qualifications
Minimum Education:
- High School Diploma or GED Required
Work Experience:
- Less than 1 year 3 6 months Required
Knowledge Skills and Abilities:
- Excellent communication and interpersonal skills
Required Experience:
Unclear Seniority
Employment Type
Full-Time
