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Healthcare Customer Service Representative

3 months ago

Owings Mills, United States nTech Workforce Full time

Pay Rate: $23/hr on W2


Terms of Employment

  • Contract, 12 months
  • This position is onsite Monday – Friday, 40-hours per week in Owings Mills, MD. The operations of the department are 8am – 6pm (EST). The schedule will fall within this window.
  • There is four-to-six-week training period – to include job shadowing of existing Billing Technicians.
  • This is a full-time position, 40 hours per week.


Overview

This position ensures that the more complex accounts are accurately invoiced, reconciled and outstanding payments are collected so that the core system is correct, and the client is satisfied. In accomplishing its accountabilities, the position must interact and coordinate with accounts, subscribers, finance, systems, and other internal departments as well as external parties.


This position is responsible for serving as point of contact for internal and external customers regarding all complex billing and collection issues. The associate will assist in the clarification and development of process improvements and inquiries, assure payments related to services from all sources are recorded and reconciled timely in order to maximize revenues. The incumbent may be required to assist with projects for upper management by providing analytical and reporting support for such purposes as: operational efficiency / quality metrics and productivity analysis, end-of-month accounts receivables reconciliation, and monthly account aging reports. The Billing Technician can generally expect to handle 15 to 20 calls per day – with the volume to increase during Open Enrollment.


Responsibilities

  • 25%: Researches and responds by telephone, or in writing to complex patient inquiries regarding billing issues and problems.
  • 25%: Reviews billing forms for accuracy and completeness before sending to payors.
  • 20%: Assists in the preparation of monthly billing and accounts receivable reports.
  • 15%: Assists with complex billing issues, including contacting insurance carriers to confirm patient eligibility and referral information.
  • 10%: Ensures all insurance, demographic, and eligibility information is obtained from patients and entered into the system in an accurate and timely manner.
  • 5%: Adhere to HIPAA guidelines and other relevant state and federal regulations, and company policies regarding to compliance, integrity, patient privacy and ethical billing practices.

Required Skills & Experience

  • High School Diploma and at least 1 year of solid experience addressing billing, collections, and/or accounts receivables-related calls in an inbound call center environment.
  • Excellent communication and customer service skills.
  • Experience in the healthcare / health insurance industry with understanding of related terminology.
  • Strong data entry experience.
  • Proficient in Microsoft Office applications, namely Microsoft Outlook and Excel.
  • Comfortable working in an environment with firm deadlines.


Preferred Skills & Experience

Experience with membership enrollment.

  • Experience in accounts receivable operations – namely invoicing.