Customer Service Self Pay Rep (Medical Billing Experience Reqd)

This position responds to inquiries by answering all incoming telephone calls promptly and courteously, ensuring customers? requests are assessed and handled to effectively maintain the maximum collection functions and insuring that all policies, regulations and procedures are followed. This position is accountable for arranging timely payments by patients after or in lieu of insurance in order to reduce outstanding balances and facilitate reimbursement.
Promptly answers incoming and/or outgoing calls to patients to resolve account issues or balances. Accurately evaluates the account to provide correct information to patient regarding account status, payments, denials and reimbursements as well as any patient residuals. Makes every effort to collect payments during the telephone contact with patients.
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Ensures thorough, concise, and up-to-date documentation is maintained.
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Promptly responds to all telephone calls regarding patient accounts for review and analysis. Properly evaluates priorities and organizes time accordingly so that required activities are completed on a timely basis.
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Clearly, concisely and patiently explains policies, procedures and other pertinent information regarding credit and collections to involved parties, so that understanding and compliance are maximized. Advises patients of available payment options, assessing and recommending the most viable method based on individual circumstances according to health system policy. Follows all corporate compliance rules and regulations and HIPAA regulations.
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Maintain acceptable level of quality and production standards as determined by supervisory review and audit of assigned account categories. Notifies manager of possible or potential issues that may result in delays in payments or increase of denials.
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Verifies with patient all demographic and billing information for completeness and accuracy, adding or correcting insurance carriers when appropriate.
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EDUCATION:High School Diploma or equivalent, Required
Associates, Preferred
High School Diploma or its equivalency required; two years of college preferred.
EXPERIENCE:1-3, Required
4-5, Preferred
Minimum of 1 to 3 years experience in hospital, clinic or medical business office required; 4 to 5 years experience preferred.
Minimum of 2 years experience in collections required; 3 or more years preferred.
LICENSURE/CERTIFICATION/REGISTRY/LISTING:REQUIRED
N/A
PREFERRED
N/A