Customer Service Representative - Patient Financial Services

Kingman Regional Medical Center•Kingman, AZ

1d•Onsite

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.
Ability to 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.
Other duties as assigned by Department Leader.
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.