Customer Service Representative - PFS / Revenue Cycle - Sharp Corporate - Day Shift - Full Time

Sharp Healthcare • San Diego, CA

449d • $52,645 - $78,978

About The Position

The Customer Service Representative in the PFS/Revenue Cycle at Sharp Healthcare is responsible for providing exceptional service to patients and providers through various communication channels, including phone calls, live chat, and in-person interactions. This role is crucial in addressing billing inquiries, ensuring patient satisfaction, and maintaining the organization's commitment to its mission and values. The representative will work in a fast-paced environment, aiming to meet departmental service levels and performance standards while contributing to the overall efficiency of the revenue cycle.

Requirements

• 2 Years Experience in customer service, medical billing, patient services, member services, patient accounting or claims processing.
• CRCR certification is required within 1 year of hire.

Nice To Haves

• H.S. Diploma or Equivalent
• 1 Year Experience with Automated Call Distribution (ACD) system in a call center environment.
• Certified Revenue Cycle Representative (CRCR) - HFMA - PREFERRED
• Certified Specialist Managed Care (CSMC) - Healthcare Financial Management Association - PREFERRED.

Responsibilities

• Receive, resolve, and respond to incoming and generate outbound calls, live chat, and walk-in patients.
• Address all patient and provider billing questions, concerns, and inquiries promptly and professionally.
• Achieve an overall departmental service level of 80% or greater by answering calls within 60 seconds.
• Conduct monthly outbound surveys to gather patient feedback, aiming for an average score of 80% or higher.
• Meet cash collection goals for both CCD and ICD divisions.
• Handle patient inquiries in a manner consistent with department guidelines, maintaining an average handle time of 8:31 minutes or less.
• Demonstrate exemplary customer service and follow HIPAA requirements during call handling.
• Negotiate payment plans and patient discounts to reduce accounts receivable days.
• Verify eligibility and benefits for commercial and government plans, ensuring accurate billing and claims submission.
• Communicate effectively with internal and external stakeholders to resolve billing questions and concerns.

Benefits

• Medical, vision, dental and more
• Generous vacation, holiday and sick leave
• Wellness programs
• Retirement plans
• Educational opportunities and tuition reimbursement
• Work-life balance and wellness

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Religious, Grantmaking, Civic, Professional, and Similar Organizations
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees