Customer Service Billing Specialist - Austin, United States - CommUnityCare

Description

Overview:

The Customer Service Billing Specialist works as part of central Revenue Cycle team to offer both internal and external customer service in relation to patient account balances. The Customer Service Billing Specialist is responsible for timely resolution of all calls routed to the billing phone queue, processing patient payments and is responsible for collecting, posting and managing patient accounts.

Essential Duties (at least 5 that are non-negotiable duties and are absolutely pertinent to successfully completing the job without accommodations):

Primary Accountabilities:

• Ensure all calls routed to the billing phone queue are promptly answered and resolved in accordance with CUC approved billing policies and procedures.
• Establish, develop and maintain effective working relationships across all departments to deliver exceptional customer service.
• Ensure highest level of sincerity, integrity and honesty while dealing with customers
• Prepare and post patient payments by either electronic or manual method
• Identifies and resolves patient billing complaints.
• Prepare, review and send patient statements.
• Evaluate patients financial status and establish budget payment plans.
• Follow and report status of delinquent accounts.
• Review accounts for possible mistakes and make recommendations to the Revenue Cycle Manager; prepare information for potential write-off.
• Perform various collection actions including contacting patients by phone.
• Process payments from patients and prepares a daily deposit.
• Participate in educational activities and attends monthly staff meetings.
• Maintain strictest confidentiality; adheres to all HIPAA guidelines/regulations.
• Demonstrate a willingness to be an active participant in initiatives that have fundamental impact on the organization.
• Performs any other duties as needed to drive the vision, fulfill the mission, and abide by the values of this organization.

Knowledge/Skills/Abilities:

• Knowledge of medical billing/collection practices..
• Knowledge of Medicaid and Commercial payers.
• Knowledge of medical computer software, including Electronic Medical Records (EMR).
• Knowledge of basic medical coding and third-party operating procedures and practices.
• Ability to operate a computer, computer programs, and basic office equipment including a multi-line telephone system.
• Ability to read, understand and comprehend the CPT, ICD 10 and HCPCS manual.
• Ability to read, understand and follow oral and written instructions.
• Ability to establish and maintain effective working relationships with patients, employees, and management.
• Must be well organized and detail oriented.
• Bilingual in oral and written Spanish and English preferred
• Cooperative work attitude towards co-employees, management, patients, visitors and physicians.
• Ability to promote favorable company image with physicians, patients, insurance companies, and the general public.
• Ability to make decisions and solve problems.
• Ability to follow instructions and to meet deadlines.
• Requires excellent communication skills with attention to detail and timeliness.
• Maintain regular and predictable attendance.
• Promptly identify issues and develop action plans for resolution with supervisor.
• Uses organizational resources appropriately and avoids wasteful practices.

MINIMUM EDUCATION: High School Diploma or GED

MINIMUM EXPERIENCE: 2 years in a billing role

PREFERRED EXPERIENCE: Experience working with FQHC billing and revenue cycle activities.