Patient Accounts - Customer Service Representative

Methodist Health System • Dallas, TX

6d • Onsite

About The Position

This role involves working with account receivables management system modules, including billing, claim corrections, reconciliation, payment posting, refunds/credit balances, customer service, and follow-up. The primary goal is to maximize customer satisfaction and profitability. Depending on the assigned role, responsibilities may include reviewing claim information for accuracy, providing feedback to clinical and non-clinical areas regarding claim errors or denials, and offering cross-coverage for other areas to ensure efficient operations and patient satisfaction.

Requirements

• High school Diploma or Equivalent required
• Customer Service Representative for call center, assisting patients with billing questions in the centralized billing office for the health system.
• Secondary duties to be performed in between phone calls.
• Health care terminology surrounding medical diagnostic and procedural coding.
• High-quality math skills necessary.
• Ability to identify trends and variances.
• Microsoft Office software experience required.

Nice To Haves

• EPIC experience highly preferred.
• Bilingual (Spanish) preferred.
• Experience with contract language preferred.

Responsibilities

• Proficiency with one or more assigned receivables' management system modules including but not limited to patient registration, charge entry, coding, claims processing, collections, reports, and patient information inquiry.
• Works all cases assigned to a Work Queue at the time of entry to ensure corrections and provide feedback to other areas and to ensure timely reimbursement.
• Provide customer service on the telephone and in the office for all patients and authorized representatives regarding patient accounts in accordance with office protocol. Customer calls regarding accounts receivable should be returned within 2 business days to ensure maximum patient satisfaction.
• Follows-up on all assigned returned claims, correspondence, denials, account reconciliations and rebills within five working days of receipt to achieve maximum reimbursement in a timely manner with an emphasis on patient satisfaction.
• Provides feedback to Management regarding claims issues of incorrect and/or missing information, which includes failure to get authorization at registration.
• Review and resolution of all assigned payer correspondence.
• Other duties as assigned

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED