Customer Service Representative

Children's National Hospital • Silver Spring, MD

309d • $37,232 - $62,046

About The Position

The Customer Service Representative will serve as a single point of contact for parents regarding billing and insurance reimbursements for physician and hospital services. This role involves responding to high volume, complex inquiries related to billing issues, researching multiple hospital and physician service billing systems to resolve customer issues, and documenting activities and contacts in the systems. The representative will develop a detailed understanding of assigned managed care contractor and payor requirements.

Requirements

• High School Diploma or GED (Required)
• 3 - 5 years of medical business office experience (Required)

Responsibilities

• Receive calls from parents regarding billing questions for physician and hospital services.
• Review accounts with parents and communicate complex billing information in an understandable way.
• Work with parents to resolve billing concerns, following up until needs are met.
• Provide information in legal matters with appropriate authorization.
• Contact third party payors on behalf of parents to obtain additional information.
• Provide further account itemization to parents and interpret EOB letters.
• Integrate information from multiple systems to develop responses to parents' concerns.
• Develop detailed knowledge of internal billing systems to research billing inquiries.
• Identify sources of issues and resources required to resolve them in a timely manner.
• Adjust overpayments and posting errors to accounts.
• Document actions in the system including research findings and write-offs.
• Add insurance information to systems as needed.
• Promote safety for patients, families, visitors, and co-workers.
• Understand managed care contracting requirements and apply principles for assigned payors.
• Maintain confidentiality at all times and demonstrate personal and professional integrity.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Hospitals
• Education Level: High school or GED