Specialist-Customer Care II

Baptist Corporate • Memphis, TN

267d

About The Position

The Specialist-Customer Care II is responsible for daily customer inquiries from both internal and external customers. This role involves the completion of claims edits, denial, and no response billing functions for timely follow-up. The specialist handles questions from both internal and external sources, understands both paper and electronic claims, and manages client invoice billing. Additionally, the position requires follow-up on Accounts Receivable to all payers and serves as a resource for other office staff and patients regarding expected payments, payments made, and contract conflicts. Other duties may be assigned as necessary.

Requirements

• Minimum one year of insurance follow-up or billing experience.
• Business-related clerical job skills including keyboarding.
• Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
• Possess organizational skills to manage and prioritize a multi-task position.
• Possess interpersonal skills necessary to successfully interact with clients and company staff.
• Must maintain telephone and personal etiquette to effectively deal with clients, vendors, peers, and management even under stressful conditions.

Nice To Haves

• Preferred clerical skills with a working knowledge of accounting and insurance coverages.
• Three years' experience in a physician's office or hospital business setting.
• Good customer service skills.

Responsibilities

• Handles telecommunication with patients, insurance companies, and other BMG/BMHCC personnel.
• Bills, collects, and submits all insurance and TPA claims according to payer guidelines and established procedures and workflows.
• Works all insurance denials via paper and/or electronic in work queues with patients on the phone.
• Reviews accounts for possible assignment to BD.
• Reviews and sets up payment plans as requested by patients.
• Reviews and processes adjustments as needed to resolve credit balances and ensure account balances are correct.
• Communicates with insurance companies.
• Reviews accounts for accuracy.
• Reviews items directed to Customer Service through MyChart communications.
• Reviews self-pay accounts forwarded to Customer Service by collection vendors.
• Completes assigned goals.

What This Job Offers

• Industry: Hospitals
• Education Level: High school or GED