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.
Requirements for Customer Service Representative:
Requirements for Customer Service Representative II: