- RBO Lead Customer Service Representative
- Excellent customer services skills and ability to work with a team required.
- Familiar with rules and regulations of CMS/Tenncare and other payers to ensure proper collection of insurance data to finalize claims for proper billing and to proper payer on first claim submission.
- Excellent typing stills.
- Ability to work with insurance companies to ensure timely payment of claims.
- Problem solving stills and multi tasking required.
- Answers incoming telephone calls in a courteous and helpful manner. Accurately assists customers with their questions or refers them to the proper resource.
- Maintains updated information on debtor records and follows up on collection of unpaid balances in a timely manner.
- Prepares accounts accurately for review by self pay manager regarding correction placement with outside agency. Reviews pre-collect reports.
- Handles credit card processing; ensures confidentiality is maintained at all times.
- Keeps accounts worked on collection desk top until proper account resolution.
- Resolves reminders daily.
- Reviews bankruptcy and notes accounts and forwards proper information to collection agency.
- Verifies and edits patient/subscriber information in computer system.
- Documents accounts properly.
- Maintains a safe and clean work area. Practices safe lifting and body mechanics.
- Maintain profession composure and confidence during stressful situation andd maintains confidential of all hospital and patient information at all times as observed by management and peers.
- Completes all Children's Hospital and practice required training and CBL requirements by deadline and attends all educational programs as needed
- Continuously displays a "can do " attitude within the practice and across other departments lines to contribute to the overall focus on service excellence.
- Interacts with all patients , staff in a consider and help manner as observed by management and peer input and demonstrates respect and regard for the dignity of all patients and families, visitors and fellow employees to ensure a professional, responsible and a courteous environment.
- Utilizes hospital resources and time respectfully and accountably and willingly accepts any other assignment that may be requested.
- Note: Reasonable accommodations may be made for individuals with disabilities to perform the essential functions of this position.
- Light lifting, pushing and pulling is required for 1-20 lbs occasionally and frequent moving of objects of less than 10 lbs is required. Frequent sitting with some walking, standing, squatting, bending, and reaching is required. Keyboard/computer use and/or repetitive motions may be required.
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customer service representative - Knoxville, United States - East Tennessee Children's Hospital
Description
BASIC PURPOSE OF THE JOBResponsible for accurate collections of Physician Receivables. Give feedback to team lead on ways to improve daily processes and improve collections. Able to work in a team environment and problem solve. Ensures timely processing of past due accounts to collections and excellent customer service with our families on phone inquiries.
REPORTS TO
Supervisory Responsibilities: No
Minimum Education: High School Diploma/GED
Degree: General
License/Certification Required: None
Minimum Work Experience: Physician billing and collection experience preferred
REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES