Billing Customer Service Representative
4 weeks ago
In the performance of their respective tasks and duties all employees are expected to conform to the following:
* Perform quality work within deadlines with or without direct supervision.
* Interact professionally with other employees, patients, and vendors.
* Work effectively as a team contributor on all assignments
* Work independently while understanding the necessity for communicating and coordinating work efforts with other employees and organizations.
Position Purpose
The PCA representative leads the collection effort on outstanding accounts, establishes payment arrangements with patients, records pertinent data on collection efforts, performs administrative duties and clerical functions as needed such as records address changes, reviews account for external collection placement, resolves customer disputes. PCA representative utilizes phone, email and portals to recover debt.
Responsibilities and Duties
* Answering all inbound calls and returning voice mails.
* Resolving patient concerns and questions.
* Processing payments through credit card vendors
* Set-up Payment Plans
* Review Charity, Financial Hardship
* Quote accurate self-pay rates and bundles
* Collect payments on high deductible tasks
* Adjust small balance amounts
* Obtain and maintain patient demos for return mail
* Refiling of claims we needed
* Querying Coding Dept on coding complaints
* Review accounts for external collections placement
* Maintain External Collection placements by reporting payments received
* Work special projects as assigned.
* Works in coordination with other members of the Central Billing Office as necessary.
* Maintains privacy and confidentiality per policy and HIPAA regulations.
* Performs other related duties as required and assigned.
* Investigates refunds
* Work special projects as assigned.
* Maintains privacy and confidentiality per policy and HIPAA regulations.
* Performs other related duties as required and assigned.
* Manage inbound Klara messages.
Performance Indicators
* Maintain a +120 patient AR under 12%
* Collection que worked and accounts placed in TSI Collections Status at end of month for external collections
* All voice mails returned the same day
* All appropriate adjustments made by end of month
* Stratus call logs monitoring each month
* Account touches report monitoring each month
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