Customer Service Representative - Part Time Day Shift

Pipeline Health•Cerritos, CA

1d•Onsite

About The Position

This role involves various customer service functions, including data entry into Excel spreadsheets, pulling data for audits, and assisting with special projects and backlogs. The position requires upholding AIDET patient communication standards and adhering to the mission, vision, and values of Pipeline Health. Specific responsibilities are divided into three main areas: Government Support, Agency-Charity Liaison Analyst, and general Customer Service Representative duties. The Government Support aspect involves maintaining logs, scanning documents, assisting staff and vendors, and documenting EOBs & R/A's. The Agency-Charity Liaison Analyst role focuses on reviewing accounts for bad debt assignments, processing financial assistance and charity applications, maintaining logs, and reconciling agency requests. All roles require active contribution to department operations and communications, adherence to HIPAA regulations, and completion of monthly training. Qualified applicants with arrest or conviction records will be considered in accordance with local ordinances.

Requirements

Clerical experience preferred.
Must be able to multi-task.
Proficient in Excel skills.
Analytical skills.

Responsibilities

Inputting accurate data into Excel spreadsheets.
Pulling data for audits and assisting with special projects and backlogs.
Maintaining current Government & TAR logs with accurate information.
Pulling, scanning, and copying documents.
Assisting Government staff and vendor requests.
Documenting EOB’s & R/A’s appropriately.
Reviewing accounts and analyzing for Bad debt assignments.
Reviewing and processing accounts for financial assistance and Charity.
Documenting and working agency logs/requests for Insurance updates and adjustment requests.
Maintaining assignment and reconciliation logs in a timely and efficient manner.
Compiling data and completing bad-debt logs to include all Medi-Cal/Medicare Managed Care products.
Retrieving all documents for Bad-Debt logs.
Ensuring all data is accurate on logs by validating against financial systems and paper EOB’s.
Pulling data for all upcoming audits.
Entering data into Excel spreadsheets.
Locating and pulling for special reports/projects in a timely manner.
Locating and removing requested information.
Meeting all audit deadlines.
Investigating missing information by searching in current and legacy systems.
Assisting in the billing areas when needed.
Scanning and indexing all documents received within a timely manner.
Performing other duties and special projects as assigned.
Maintaining basic unit/department cleanliness by keeping files, drawers, and cabinets free from unnecessary clutter.
Abiding by HIPAA regulations.
Completing and attending monthly training.
Maintaining accurate Tar Pending Log on a daily basis.
Running spot checks for all Medi-Cal cards received via mail.
Pulling explanation of benefits for Collectors to bill secondary payor.
Pulling and copying Medicare / Medi-Cal Remittance Advice for collectors and auditors in a timely manner.
Requesting Medical records as needed.
Completing packages for vendors for assignment.
Keeping logs for Medi-Cal and Medicare Remittance Advices timely and appropriately.
Logging any outstanding requests for billing.
Monitoring and/or following up with precise documentation and reporting of pre-bad debt and bad debt accounts assigned to collection agency.
Accurately utilizing appropriate activity, status, and agency codes; reviewing and approving or denying collection assignments in a timely manner.
Ensuring patient(s) bankruptcy notice(s) is a discharge of debt, for the correct dates, and assigning those accounts to the appropriate bad debt agency code.
Appropriately recalling patient accounts from bad debt, and re-stating accounts back to A/R in a timely manner.
Reviewing/validating agency payments and fees for Management invoice approval.
Accurately documenting agency status activity in Paragon system and responding to agency requests timely.
Working closely and building positive working relations with collection agency, attorney(s), and ancillary departments.
Updating and maintaining agency activity and assignment logs, by facility and agency.
Ensuring appropriate Insurance updates are completed timely.
Requesting appropriate adjustments as needed.
Reviewing all agency logs/reports for accuracy, and emailing to appropriate Management Team.
Performing quality completeness review of patient Uncompensated Care (Charity Care) and Discount Assistance programs.
Reviewing and acknowledging Financial Assistance applications, and requesting additional documentation in a timely manner.
Ensuring completed applications are sent for review and approval efficiently and timely.
Handling Financial Assistance in a caring and professional manner.
Complying with Federal, State, and Local Laws that govern business practices.
Understanding and abiding by all departmental policies and procedures as well as the Code of Ethics, HIPAA requirements and patient rights.