• CUSTOMER SERVICE REPRESENTATIVE

    Posted Date 1 month ago(9/17/2018 5:55 PM)
    Requisition ID
    2018-8914
    # of Openings
    1
    Department
    PATIENT FINANCIAL SERVICES
    Location Name
    Baptist Business Operations Center
    City
    Pensacola
    Category (Portal Searching)
    Administrative/Clerical
    Position Type
    Full-Time
    Schedule
    Day Shift
  • Overview

    The Customer Service Representative is responsible resolving customer (patients, providers, insurance, attorneys’, etc.) questions.   This is performed by taking incoming calls and written customer requests. The Customer Service Rep will perform  various tasks in the Accounts Receivables reconciliation process including but not limited to;  examining, correcting and consistently updating  Patient Health Information to ensure accurate  insurance payment/follow-up; applying appropriate contractual allowances; resolving patient and insurance carrier inquiries; using on-line systems provided by multiple payers to verify eligibility and benefits and checking claim status;  make telephone calls to the payer to ensure payment on submitted claims, maintain appropriate/ consistent documentation on accounts worked; apply proper account management principals to accounts to ensure accurate follow up; identify non-payment trends by payer and notify management; uses worklist software to record activity on accounts worked and reviews worklist productivity reports. 

     

    The person in this position works under general supervision, is responsible for various shifts, may be subject to over 40 hours per week and/or callback as required, and may also be required to remain on campus immediately before, during, and after severe weather and/or disasters.

    Qualifications

    Requirements for Customer Service Representative:

    • High School Diploma or General Education Degree Required
    • Six (6) months of relevant healthcare revenue cycle experience (patient access, financial assistance, insurance billing, patient and/or insurance collections, reimbursement, health care customer service, payer contracting, or coding) is required. Experience in a healthcare customer service experience preferred.
    • Must be able to demonstrate the following: Medical Terminology, Written communication skills, Verbal communication skills, Medicare regulations, Coding, Excel, WORD, Specific applications to use PC applications to achieve work goal, Office applications: email, fax module, scan PDF, Fast paced work environment, Meeting deadlines, Organized, Time management, Conforming to standards, Phone customer service, Billing process, Manage large data volume, Audit Techniques , Healthcare financial regulations, Insurance collections process, Patient privacy, Data entry,10 key calculator, Works well within a team structure.

    Requirements for Customer Service Representative II:

    • High School Diploma or General Education Degree Required
    • Two (2) years relevant healthcare revenue cycle experience (patient access, financial assistance, insurance billing, patient and/or insurance collections, reimbursement, health care customer service, payer contracting, or coding) is required. Experience in a healthcare customer service experience preferred. Less job experience is required with completed advanced education (Associates, Bachelors, or Masters’ degree).
    • CRCS-I or P or CHAA Certification is required
    • Must be able to demonstrate the following: Medical Terminology, Written communication skills, Verbal communication skills, Medicare regulations, Coding, Excel, WORD, Specific applications to use PC applications to achieve work goal, Office applications: email, fax module, scan PDF, Fast paced work environment, Meeting deadlines, Organized, Time management, Conforming to standards, Phone customer service, Billing process, Manage large data volume, Audit Techniques , Healthcare financial regulations, Insurance collections process, Patient privacy, Data entry,10 key calculator, Works well within a team structure.

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