About The Position

The Accounts Receivable Customer Service Specialist answers incoming telephone calls, i.e., patients, insurance companies, physician offices, etc. regarding questions on hospital accounts. With resolution, assists patient/guarantor/insurance companies on inquiries of a patient account. Complete requests received via telephone or written correspondence such as a summary or itemized statement of charges, fax of UB, forward medical records to HIM Department, etc. Scan documentation into electronic filing system and determine if action is required. Take appropriate action as needed, to include updating insurance in patient accounting system and resubmitting hospital claims, researching, and taking appropriate AR balance adjustments, or forwarding information to appropriate department leaders for prompt resolution.

Requirements

  • High School Diploma, or GED
  • 1 year of customer service, patient registration, billing or equivalent experience
  • Working knowledge of medical and insurance terms is desirable.

Nice To Haves

  • Ability to review, comprehend, discuss HCFA billing with Insurance or Government agencies.
  • Knowledge of general insurance requirements.
  • Experience working directly with EOBs and contractual adjustments.
  • General computer knowledge, working with electronic filing.
  • Ability to communicate verbally/in writing with professionalism.
  • Ability to meet productivity expectations.

Responsibilities

  • Answer incoming calls promptly not to exceed the third ring.
  • Create solutions with compassion, listen to the caller without interruptions, be courteous, and respectful using sound judgement. Handle upset callers with a calm and positive manner.
  • Accept and process all credit card payments, scanned payment receipt to Power Chart and complete cash reconciliation sheet and attach payment receipt.
  • Document notes regarding all telephone calls/correspondence in the AR system daily in a clear and concise manner.
  • Upon request, send patient or insurance summary or itemized statement of charges.
  • Work assigned accounts as directed while reaching daily productivity goals.
  • Attend seminars as requested.
  • Maintain compliance with all company policies, procedures, and standards of conduct.
  • Perform other duties as assigned.

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Industry

Hospitals

Education Level

High school or GED

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