Customer Service Representative

WVU MedicineHome Work - Monongalia County WV (Local), WV
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.

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.
  • Knowledge of Fair Debt Collection Act.
  • Specialized courses or seminars over and above high school that are directly related to collections, medical field, hospital business office setting.
  • General knowledge of third party payers, collection laws, and collection procedures required.
  • 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.

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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