Healthcare Customer Service Representative - Fairfield, United States - PF Concepts

Description

• Modern office setting
• Growth opportunities
• Onthejob training

• Ability to manage heavy inbound and outbound call volumes in a timely manner to include account research, screen patients for Charity Care, follow-up, set-up payment plans, documentation of information received, identify customer needs; provide solutions or alternatives to resolve issue.
• Review the company host system to ensure all related accounts are updated and/or billed.
• Review patient accounts for either field referral, insurance eligibility or Charity Care referrals by understanding insurance guidelines.
• Monitor aging accounts daily to ensure they are worked in a timely and efficient manner.
• Review and note accounts accurately with possible Medicaid and/or insurance to update and forward for billing for potential revenue.
• Review accounts to ensure accuracy and quality work is delivered to the client based on their standards and expectations.
• Review accounts under selfpay status accordingly for insurance discovery by ensuring insurance has a paying program, meeting timely filing deadlines, and has covering diagnosis.
• Review and work queues to maximize opportunity for revenue and meet departmental targets and quantitative goals.
• Provide accurate and timely status update on all accounts.
• Provide customer service; calling patients and interact with insurance companies for insurance verification and/or claim status requests.
• Generate and review aged trial balance (ATB) reports and assigned it to Field Representative.
• Assist in client cleanup projects as required.
• Motivated liaison between the company, client and patients.
• Abides by HIPAA rules and regulations and complies with company policy.
• Accept ownership of assigned work, train new hires or team members; attend seminars, client meetings and team building functions to improve knowledge and performance levels.
• Follow up with company and/or client scripts to ensure uniformity.
• Perform other duties as assigned by management team.

• High school diploma or GED

• Required
• Strong communication, including writing, speaking and active listening
• Great customer service skills, including interpersonal conversation, patience and empathy
• Good problemsolving and critical thinking skills
• Ability to Multi-Task and work in a fastpaced call center environment
• Confident with phone Inquiries
• Organization, time management and prioritization abilities
• Understanding of industryspecific policies, such as HIPAA regulations for health care is helpful
• Attention to detail and excellent quality
• Knowledge of revenue cycle processes including: health insurance verifications, billing, collections, cash posting functions and coding is a huge plus
• 1+ years experience in Patient Financial Services or related healthcare field is strongly preferred
• Proficient computer skills, Microsoft Office; working knowledge of billing software, electronic medical records (EMR) or hospital software systems is a plus

• 401(k)
• 401(k)

• Dental insurance
• Health insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

• 8 hour shift
• Monday to Friday

• What salary range do you expect from your next role?

• High school or equivalent (required)

• Customer service: 1 year (required)

• Spanish (writing, reading, and speaking) (required)