Core – Customer Service Specialist I

Provide patient service excellence on multi-line telephone system and walk-in inquiries for patient's accounts. Provide patients with resolution to phone inquiries as well as follow-up on medical billing denials and/or payments. Implement strategies and favorable practices for monitoring patient accounts monthly for collections process.

Requirements:

• Associate's degree or equivalent experience
• 1-3 years medical billing experience

Major Responsibilities:

1. Review work log daily to ensure timely resolution of outstanding A/R.
2. Follow-up on incorrectly denied and outstanding claims; including patient balances; in a timely fashion.
3. Demonstrate proficiency and utilize practice management system.
4. Appropriately document all transactions on patient accounts.
5. Provide backup for other team members; as needed.
6. Process self pay payments in a timely fashion.
7. Responsible for addressing patient issues and concerns (phone; mail; and walk-in) in a timely manner; while projecting a professional and caring image.
8. Evaluate account balances to determine patient liability. Accurately review accounts for collection agency submittal.
9. Provide liaison between patients; departments; and insurance companies to ensure account resolution. Return patient phone calls and office staff calls/inquiries within the same business day.
10. Communicate effectively with Director of Revenue; CBO supervisors; co-workers; and offices.