Job Overview
Job Description
Overview:
The Customer Service Representative is responsible for promptly and politely addressing incoming phone calls to respond to inquiries, evaluating and addressing customer needs to maintain optimal collection processes, and adhering to all relevant policies and guidelines. Operating with oversight, this role is responsible for coordinating prompt patient payments following insurance claims to minimize outstanding debts and streamline reimbursement processes.
Highly valued background in EPIC is preferred.
Highly desirable - a minimum of three years of applicable experience in patient accounting or billing follow-up within a hospital or clinic setting.
Responsibilities:
Responds to patient inquiries promptly regarding account problems and offers precise details about payment status, denials, reimbursements, and remaining balances, ensuring effective management of accounts.
Engages in proactive efforts to collect payments during phone conversations with patients, ensuring prompt revenue collection.
Records interactions to help maintain precise documentation and streamline communication in the revenue cycle, verifying the correctness of patient information and billing particulars, and effecting required adjustments with insurance providers to enhance the accuracy of patient records and billing effectiveness.
Interprets credit and collections data to involved parties and suggests appropriate payment methods according to the situation to promote comprehension and cooperation.
Complies with corporate regulations, such as the Health Insurance Portability and Accountability Act (HIPAA), to maintain patient confidentiality and meet legal requirements during engagements.
Ensures that quality and productivity standards are met and promptly alerts the manager about any possible concerns to avoid delays in payment or a rise in rejections.
Carries out additional tasks as required.
Qualifications:
EDUCATION:
Required:
EXPERIENCE:
Required:
LICENSURE/CERTIFICATION/REGISTRY/LISTING:REQUIRED
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