- Maintains established departmental policies and procedures, objectives, quality improvement program, safety, environmental and infection control standards.
- Operates microfilm equipment in retrieving file data.
- Interprets insurance program procedures and provisions to resolve routine patient billing inquires and problems.
- Counsels patients requiring external financial assistance, including recommending third parties.
- Answers all inquiries regarding patient accounts.
- Researches credit balance accounts, refunds overpayments to patient, guarantor or third party payer.
- Secures information relative to patient's financial status or insurance coverage. May complete insurance forms, verify insurance coverage, and secure other information if needed.
- Prepares appropriate information for billing personnel.
- Answers telephones, routes callers, takes messages and provides routine information to callers. Responds promptly to inquiries and requests.
- Negotiates contractual payment plans with patients as authorized.
- Performs a variety of routine typing and clerical duties as necessary.
- Receives complaints of poor or inadequate service and determines action to be taken.
- Traces missing files.
- Attends meetings as required.
- Other duties as assigned.
- High school diploma or combination of relevant experience and education required.
- Previous customer service experience required
- Healthcare experience highly preferred
- Outstanding communication, interpersonal, mulit-tasking and analytical skills
- The ability work well with minimal supervision in a high-volume environment
- Proven ability to remain composed and professionally under difficult situations with a strong team approach
- PC proficiency with various Windows applications
- Knowledge of phone systems and technology
- Skill in recognizing and responding to emergency/high-priority situations
- Body Positions: Sitting and standing for prolonged periods.
- Body Movements: Arm and hand dexterity.
- Body Senses: Must have command of close and distant sight, color perception and hearing.
- Strength: Ability to lift and move up to 25-pounds.
- Work in an office, where the climate is controlled
- Occasional travel between medical groups and/or hospitals when necessary. 0-25 % of the time.
- Category I – Position includes tasks that involve exposure to Blood borne Pathogens.
- Category II – Position includes tasks that do not have exposure to Bloodborne Pathogens, however employment may require unplanned Category I tasks.
- Category III – Positions includes tasks that do not involve exposure to Bloodborne Pathogens. This position would not be required to perform Category I tasks.
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Customer Service Rep - Corona, United States - KPC Global MSO
Description
SUMMARYAnswers telephones, routes callers, takes messages and provides routine information to callers
REQUIREMENTS
RESPONSIBILITIES AND DUTIES: