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Form of workResponsible for : Validating patient's identity to comply with HIPAA Regulations Analysis of patient balances detail review of services billed validating correct patient/insurance and demographic information Identifying customer's concern and assisting with resolution including follow up with other departments throughout BHSF: (i.e. Financial Assistance Program, Financial Assistance Department, Charge Review Department, Patient & Guest Services, Special Handling, UR, CPO and Claims Management Department). Responsible to answer all incoming calls through the Inter-active Voice Response System from patients, attorney's, Internal and External customers for all BSHF facilities and document all action taken onto the SMS/Invision System.
Knowledge of the Managed Care Contracts in order to submit contractual adjustments on accounts as necessary. Utilizes available system resources to resolve patient issues promptly. Responsible to process, document and work all incoming patient mail within a 7-10 day window.
Estimated pay range for this position is $17.53 - $22.79 / hour depending on experience.Degrees: High School,Cert,GED,Trn,Exper Additional Qualifications: 3 years Customer Service experience in a healthcare setting in a call center environment a must. Knowledgeable in a healthcare setting arena. Working knowledge and understanding of: medical terminology ; Revenue Codes ; DRG guidelines ; ICD9, CPT4, Modifiers & HCPC codes ; HIPAA and Statutory regulations ; Online verifications Avality ; Internet savvy ; Knowledge of Microsoft systems, Word, Excel, PowerPoint, Access, Vista Hipath Pro-Center Agile.
Detail oriented ; problem solver ; good math, writing, and interpersonal skills required. Must be able to deal with difficult callers in a high call volume setting. Ability to multi-task and work under pressure in order to meet stringent deadlines.
Bilingual a must. Minimum Required Experience:
