Customer Service Specialist Full Time

United Surgical Partners International • Oklahoma City, OK

81d

About The Position

North OKC Medical Billing Office looking for a full time Customer Service Specialist Monday through Friday, no weekends or major holidays. The Customer Service Specialist is responsible for patient support functions in the Central Billing Office. This includes, but not limited to, customer service phone calls, resolving patient complaints, research and resolving patient questions, setting up payment plans and initial screening for charity. The Customer Service Specialist also acts as the liaison between the patients, the CBO and our clients in regards to patient issues.

Requirements

• Proficient in Microsoft Office Products.
• Ability to work in a fast-paced environment.
• Knowledge of claim reimbursement processes.
• Excellent communication skills.
• Ability to analyze insurance EOBs and explain them to patients.

Responsibilities

• Provides patient related support for the CBO according to policies and procedures.
• Effective and efficient communication, computer to include Microsoft Office Products and phone skills.
• Ability to work in a fast paced environment with frequent interruptions.
• Understand the claim reimbursement process from the time the patient is seen until the claim is resolved in full.
• Answer questions related to the claim status whether balance is pending for third party insurance or patient responsibility.
• Excellent knowledge of third party payor contracts, processes and procedures.
• Analyze an insurance EOB/correspondence and explain it to a patient in a concise and clear manner.
• Understand the CBO patient payment guidelines and the charity guidelines for each client.
• Exercise independent judgment and be able to resolve complex account issues completing any necessary research needed.
• Correct issues found with claims including, but not limited to, demographic and insurance changes.
• Maintain a positive and highly professional working relationship with patients, physicians and staff, facilities and staff, co-workers, other departments and any other entity they may have contact with in performing their daily duties.
• Stay informed and up to date on any rule or policy change in regards to their current position.
• Be proficient in all systems, programs and processes associated with their current position within the CBO.
• Effectively work and cooperate with supervisors, co-workers and clients.
• Follow the directions of supervisors.
• Refrain from causing or contributing to disruption in the workplace.
• Regular and reliable attendance.
• Perform other duties as assigned.

Benefits

• Medical, dental, vision, and prescription coverage.
• Life and AD&D coverage.
• Availability of short- and long-term disability.
• Flexible financial benefits including FSAs, HSAs, and Daycare FSA.
• 401(k) and access to retirement planning.
• Employee Assistance Program (EAP).
• Paid holidays and vacation.

What This Job Offers

• Job Type: Full-time
• Industry: Ambulatory Health Care Services