Customer Service Specialist - FT

Bay Area Hospital•Fort Bridger, WY

3d•$21 - $31•Onsite

About The Position

The Customer Service Specialist is the primary liaison between callers, walk-ins and the hospital billing department. Customers may include patients, guarantors, insurance companies, providers and other departments. This position will field inquiries across a wide range of billing information for facility and professional claims billed by Bay Area Hospital. EXPECTATION FOR ALL EMPLOYEES Support the organization’s mission, vision and values by adhering to the behavioral standards of Bay Area Hospital. Comply with all laws and regulations affecting Bay Area Hospital. Be familiar with and adhere to the Code of Conduct and support the Bay Area Hospital Compliance Program. Effective communication skills and the ability work effectively with people from various backgrounds are critical. POSITION SUMMARY The Customer Service Specialist is the primary liaison between callers, walk-ins and the hospital billing department. Customers may include patients, guarantors, insurance companies, providers and other departments. This position will field inquiries across a wide range of billing information for facility and professional claims billed by Bay Area Hospital.

Requirements

Demonstrates the ability to use a personal computer, office equipment and various software programs applicable to the position
Demonstrates understanding of payer billing requirements and remittance advices
Effective and professional communication skills, both verbal and written
Exhibits the ability to maintain confidentiality, think and act independently with minimal supervision
Ability to use initiative and judgment skills in carrying out responsibilities
Organizational skills that promote the ability to work well without direct supervision, manage time effectively and appropriately prioritize multiple assignments to meet project deadlines
Demonstrates the ability to analyze and solve complex system problems, and ability to prioritize, manage and implement complex projects
Effective collaboration and communication with a variety of individuals, both internal and external, including multidisciplinary teams
Ensures recommendations support adherence to all federal, state and other regulatory requirements.
Maintains regular, consistent and punctual attendance at the assigned job location
High school graduate or equivalent required
Minimum of one year work experience in healthcare revenue cycle

Nice To Haves

Associate’s or Bachelor’s degree preferred
Healthcare, customer Service, change management, project management or process improvement certifications preferred
Minimum of two years’ work experience in healthcare revenue cycle, preferred
Previous customer service experience a plus
Experience with Epic, Soarian, EDM, MS4, ADT, claims, MIRA, DSG, Experian, Craneware or other revenue cycle solutions software
Hospital & physician billing experience
Experience with PowerPoint, Word and Excel preferred
Experience with 837i or 837p and HIPAA transaction sets such as CPT/HCPCS, revenue codes, ICD9 or ICD10, CARC or CAS codes preferred

Responsibilities

Guides callers through established protocols and sequences of information gather and provides answers in a prompt, courteous and professional manner
Quickly and accurately updates information in the computer system databases
Provides follow through to callers by follow-up calls, assuring the caller is satisfied with information provided
Assists patients/guarantors with claim status, payment, refund and payment option information
Greets patients and visitors that present in person at the business office
Serves a liaison between the patient, the billers, insurance representatives and third party vendors
Processes credit balance accounts, as assigned
Safeguards the confidentiality of patient’s protected health information in accordance with State and Federal (HIPAA) regulatory requirements, hospital and department policies
Provides financial assistance information and assists with application and processing
Provides administrative & clerical support with various business office functions, including preparing bank deposits, reconciling agency reports, preparing payment/adjustment batches, incoming and outgoing mail and answering phones
Ensures compliance with established departmental and organizational policies and procedures
Keeps workspace in a neat and organized way
Works in the spirit of cooperation with other staff members and management
Performs other duties as assigned