Client Service Representative

Job title Client Service Representative

Reports to Client Manager

Classification Hourly, Non-Exempt

Job purpose

The Client Service Representative is an entry-level position on the Client Services team. Work is performed with supervisor guidance and within established practices to complete duties and responsibilities. Primarily responsible for collection of accounts receivable for multiple or larger specific payor(s), in a timely, systematic fashion. Primary goals are to facilitate increased cash flow and decreased A/R days on assigned accounts.

Duties and responsibilities

• Conduct follow-up with insurance companies on denied and rejected claims. Follow-up on non-payment of claims according to ABC guidelines.

• Verify eligibility for insurance coverage through various means

• Conduct necessary investigation and follow-up on unpaid, self-pay and/or litigation accounts using resources provided by ABC.

• Communicate with self-pay patients regarding outstanding balance and timely pay-off of account. Establish individual payment plans based on pre-established collection procedures.

• Collect outstanding balances on patient accounts following ABC accounts receivable management collection procedures and appropriate laws and regulations.

• Process mail received from physicians, insurance companies and patients regarding outstanding accounts.

• Process Credit Status Reports and take steps necessary to adjust accounts or indicate true refunds.

• Initiate adjustments to accounts including referral to collections, write-offs, and insurance adjustments according to

ABC collection guidelines.

• Participate in regular team meetings to discuss pertinent issues, changes, and/or enhancements to the collections function.

• Identify trends and issues related to payors, invoice set-up, and end-user errors, related to AR Follow-up and communicate information about this to the AR Manager, Team Lead and Job Account Managers.

• Initiate updates to Client-specific Requirement Notes and dictionaries when necessary.

• May assist in the training and cross training of newer staff.

• Other duties as assigned.

Qualifications

• High School diploma or equivalent

• 1-2 years relevant work experience in a physician or medical insurance/collections environment

• Excellent communication skills (both verbal and written)

• Detail oriented

• Proficient in Microsoft Office; MS Word, MS Excel, MS Outlook

• Ability to multi-task

• Strong organization skills

• Knowledge of HIPAA laws

• Knowledge of health insurance billing and collections

March 2020

Physical Requirements

Ability to read handwritten and typed documents on paper and/or on computer screens.

The physical requirements above are representative of the physical capabilities that must be met by an employee to perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The Company is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.