About The Position

The Customer Service Representative is responsible for providing exceptional customer service to patients regarding their billing inquiries, payments, and account information. This position handles a high volume of incoming calls and in-person visits, ensuring all inquiries are resolved accurately and in a timely manner. The role requires strong attention to detail, excellent organizational skills, and the ability to multitask in a fast-paced environment. Representatives are expected to meet established productivity and quality standards that support overall department goals and performance metrics.

Requirements

  • High School Diploma or Equivalent
  • Prior experience with healthcare billing processes, including CPT and ICD-10 coding, payer guidelines, and timely filing requirements, interpreting remittance from insurance companies.
  • Strong interpersonal skills are essential for effectively assisting patients and resolving complex or difficult situations with professionalism and empathy.
  • Demonstrate excellent organizational abilities to manage, prioritize, and accurately process a daily workload while maintaining attention to detail and ensuring compliance with established policies and procedures.

Nice To Haves

  • Minimum of 1–2 years of experience in healthcare billing, customer service, or a related field.
  • Knowledge of insurance billing procedures, CPT/ICD coding, and remittance advice preferred.
  • Proficiency with Microsoft Office applications (Outlook, TEAMS, Excel) and electronic health record (EHR) or billing systems.

Responsibilities

  • Provide prompt, professional, and courteous assistance to patients in person at the Main Campus or SHMP windows, while handling a high volume of incoming calls and emails to resolve billing and payment inquiries efficiently and accurately.
  • Follow up with insurance companies by phone or payer websites to research patient accounts, verify information, and confirm details such as eligibility and claim status.
  • Review patient accounts to ensure charges, adjustments, and payments are accurate and appropriately applied.
  • Verify that account balances in a self-pay status are correct by reviewing insurance remittance advice and related documentation.
  • Review financial assistance applications for completeness and ensure all required documentation is received.
  • Post patient payments accurately, including cash, check, and credit card transactions.
  • Reconcile daily cash drawers and credit card batches at the end of each business day.
  • Set up payroll deductions for employees in accordance with organizational policies and ensure accuracy in account posting.
  • Review credit balances to determine if the credit is valid and should be refunded to the patient or insurance, transferred to another open balance, or adjusted appropriately.
  • Review accounts receivable (AR) reports to ensure the appropriate amount is being billed to the patient.
  • Meet or exceed productivity and quality standards as monitored by management to ensure departmental goals are achieved.
  • Other duties as assigned by Department Leader.
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