Call Center Representative

1 week ago

Helena, Montana, United States St. Peter's Health Full time
Monday
  • Friday: 11am to 3pmJOB SUMMARY (overview of job):Project a positive and helpful demeanor while working with patients, visitors, and staff.
Collect appropriate deposit, deductible and/or co-insurance amounts from patient/guarantor at pre-admit, admit, in house or at discharge.
Complete insured and uninsured patient estimates upon request.

Evaluate guarantor financial status, previous account information, eligibility tools, employment history, and all other income verification documentation, to determine the most feasible method of payment.

Gather and assess financial data to help determine patient eligibility for Medicaid, SSI, charity and other financial assistance programs while working cohesively with associated vendors (Such as a Medical Advocate).Responsible for timely documentation of all pertinent information on the patient account.

Responsible for evaluating, tracking, and logging all patient assistance applications and HIPAA release of information formsMaintain knowledge of resources available both inside St Peters and outside agencies to aid with patient issues.

Handle all incoming customer service questions to identify needs and issues. Including but not limited to charge explanation, relaying/explaining insurance activity, offering patient assistance and setting up payment plans.
Makes outbound calls to set up payment arrangements and follow up on delinquent accounts.

Manages accounts needing to be transferred to outside collections agenciesProcesses patient correspondence, queries and disputes from our collection agenciesWhen needed with go to court proceedings to represent the hospital in collections of debts.

Maintain compliance with state and federal regulations as they relate to Patient Financial Services.
Responds to all Smart Sheet items assigned to them within 2-7 business days.
Logs all unresolved issues and refers to them to the business office management team.
Responsible for working daily inpatient uninsured lists timely. Including but not limited to patient assistance screening and getting ABNs signedReconciles credit card transactions, daily cash drawer reconciliation. Post and deposits client billing payments from other departments.
Reports trending call issues to the QA Coordinator.

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