Client Services Representative

3 weeks ago

Fairfield, United States Patient Financial Concepts, Inc Full time
Job Type

Full-time

Description

Schedule: Monday-Friday 8:00am-4:30pm
  • Ability to manage heavy inbound and outbound call volumes in a timely manner to include account research, screen patients for Charity Care, follow-up, set-up payment plans, documentation of information received, identify customer needs; provide solutions or alternatives to resolve issue.
  • Review the company host system to ensure all related accounts are updated and/or billed.
  • Review patient accounts for either field referral, insurance eligibility or Charity Care referrals by understanding insurance guidelines.
  • Monitor aging accounts daily to ensure they are worked in a timely and efficient manner.
  • Review and note accounts accurately with possible Medicaid and/or insurance to update and forward for billing for potential revenue.
  • Review accounts to ensure accuracy and quality work is delivered to the client based on their standards and expectations.
  • Review accounts under self-pay status accordingly for insurance discovery by ensuring insurance has a paying program, meeting timely filing deadlines, and has covering diagnosis.
  • Review and work queues to maximize opportunity for revenue and meet departmental targets and quantitative goals.
  • Provide accurate and timely status update on all accounts.
  • Provide customer service; calling patients and interact with insurance companies for insurance verification and/or claim status requests.
  • Generate and review aged trial balance (ATB) reports and assigned it to Field Representative.
  • Assist in client clean-up projects as required.
  • Motivated liaison between the company, client and patients.
  • Abides by HIPAA rules and regulations and complies with company policy.
  • Accept ownership of assigned work, train new hires or team members; attend seminars, client meetings and team building functions to improve knowledge and performance levels.
  • Follow up with company and/or client scripts to ensure uniformity.
  • Perform other duties as assigned by management team.

Requirements

  • Bilingual - writing, reading and speaking in Spanish (required)
  • Ability to take initiative and adapt to different changing situations and handle upset calls.
  • Exceptional client and customer service, relationship and team building. A problem solver with a willingness to learn.
  • Ability to multi-task, prioritize work and manage time effectively.
  • Excellent written and verbal communication abilities.
  • Strong attention to detail.
  • Knowledge of healthcare terminology, procedures and practice; such as: HIPPA regulations, health insurance regulations and billing. Experience with electronic billing systems and workflow improvement.
  • Proficient in Microsoft Office or related software.
  • High school diploma or GED.

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