Customer Service Representative PFS

WVU Medicine
Onsite

About The Position

Responsible for accurate and timely resolution of patient’s billing concerns and for implementing collection policies and procedures. Responsible for interviewing and counseling patients for payment arrangements and/or charity assistance and other assigned duties. Works with patients to resolve account balances.

Requirements

  • High school diploma or equivalent.
  • Professional Interactions at all times.
  • Excellent oral and written communication skills.
  • Ability to use tact and diplomacy in dealing with others.
  • Demonstrated customer service relations.
  • Analytical skills necessary for problem solving.
  • Knowledge of Fair Debt Collection Act.
  • General knowledge of third party payers, collection laws, and collection procedures required.
  • Excellent telephone communication skills.
  • Working knowledge of computer including Microsoft Word and Excel.
  • Demonstrates the knowledge and skills necessary to communicate to all patients per the established age specific education/standard.
  • Maintains current knowledge of Medicare reimbursement process and audit regulations.
  • Understands the UB92/1500 bill forms contents and EOMB’s.
  • Ability to understand written and oral communication.

Nice To Haves

  • One (1) year experience in a healthcare setting.
  • One (1) year previous customer service experience.
  • Knowledge of medical terminology preferred.
  • Knowledge of ICS-9 and CPT coding preferred.
  • Specialized courses or seminars over and above high school that are directly related to collections, medical field, hospital business office setting.

Responsibilities

  • Accurately posts data (payments, adjustments) as needed.
  • Communicates problems hindering work flow to management.
  • Resolves patient billing and third party payer concerns.
  • Interviews & Counsels patients for payment arrangements and/or charity assistance.
  • Answers patient questions quickly, accurately, and courteously.
  • Accurately identifies and screens Medicare charity within established guidelines.
  • Rebills accounts as necessary.
  • Works with patients to resolve account balances.
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