Customer Service Representative- 0800-1630- Days MINIMUM 1 YR EXP REQUIRED POSITION SUMMARYThe Customer Service Representative performs various routine and complex clerical tasks; and deals with patients, family members, visitors and clinic personnel in other departments to ensure good internal and public relations.EDUCATION/EXPERIENCE/TRAINING
• Required:Minimum 1 year of experience in billing and collections.High school diploma or equivalent or 7 years of experience in billing and collections.DUTIES AND RESPONSIBILITIES1.Safeguards and preserves the confidentiality of patient's protected health information in accordance with State and Federal (HIPAA) regulatory requirements, hospital and departmental policies.2.Ensures a safe patient environment and adherence to safety practices per policy.3.With consideration to age, employee utilizes the approved process to resolve biophysical, psychological, educational and environmental needs of patient/significant other when administering care.4.Essential to the provision of community benefits as an expression of our charitable healthcare mission and purpose, each manager/supervisor is committed to the delivery of high quality, compassionate healthcare and is further committed to supporting the strategic direction of community benefits within PIH Health and its affiliates. (Applies to management positions.)5.Receive and resolve patient complaints regarding insurance billing, and initiate accurate account adjustments; follow all billing problems through to conclusion6.Answer all correspondence relating to billing questions; make appropriate financial arrangements7.Verify insurance status, eligibility and general account information8.Assist patients with courtesy billing and update insurance information as necessary9.Forward billing to appropriate carriers to ensure timely and accurate payment; demonstrate complete knowledge of all appropriate carriers10.Perform reconciliation of refund accounts; attach documentation and forward to bookkeeper to process refund checks; identify problems and follow through to conclusion11.Review credit statements for correct recipient of refundRTO must be on the submittalNo RTO the first two weeks of an assignmentPlease Note: Once RTO is submitted, this cannot be changed unless it's to cancel time requested - ensure that you have confirmed all dates needed for entire length of contract