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Billing Customer Service Representative
2 months ago
Washington Gastroenterology believes that digestive health is the foundation for a healthy life. We are committed to improving the quality of life and longevity of our patients and our communities through the prevention, detection, and treatment of gastrointestinal diseases. We are WAGI WAGI is seeking a Full-time Billing Customer Service Representative to join our Revenue Cycle team. The Billing Customer Service Representative will answer all incoming phone calls to the billing workgroup, prints paper claims, and performs administrative duties for the Revenue Cycle team. This team primarily works remotely from home supporting our patients, clinics, and endoscopy centers (must be Washington based, see specifics below). Responsibilities Answers all incoming department phone calls with a proper greeting, in a timely manner, and according to protocol. Performs account review and transfers balances, resubmits charges, requests a refund, establishes payment plans, and answers patient questions. Prints paper claims on a regular basis according to protocol including separating, sorting, attaching needed items, and mailing claims. Provides support to other members of the revenue cycle team related to returned mail, mailing refunds, printing records, and other projects as needed. Reviews outside systems to determine the ability of the patient to pay. This would include checking Provider One for eligibility or QMB/SNP status. Accurately documents patient accounts to reflect all actions taken in the billing system. Appropriately and timely relays information to the insurance services team for accounts requiring more in-depth follow-up with the patient or insurance carrier. Uses good judgment to report and escalate patient disputes and concerns to the Collections Manager Establishes and maintains a professional and collaborative relationship with all staff to resolve problems and increase knowledge of insurance requirements. Notifies Collections of trends affecting patient phone calls. Identify and report compliance concerns to avoid fraudulent billing. Other duties as assigned Qualifications High School graduate or GED required 1 year of experience working in a medical practice or healthcare system preferred 1 year of experience working in customer service required Skills and Abilities Ability to use 10-key by touch with high accuracy required Ability to interpret explanation of benefits, knowledge of COB rules, and ability to perform basic arithmetic required Basic MS Office skills required (Word, Excel, and Outlook) Ability to work effectively with co-workers as a team member is required Ability to follow oral and written instructions required Ability to work independently with minimal supervision Physical Activities and Requirements Prolonged periods of sitting and performing administrative duties including the use of computers Repetitive hand movements/typing Able to lift and carry supplies and equipment as needed (up to 25 pounds) This team primarily works remotely from home with training conducted onsite in Tacoma, WA. Candidates must reside and work in Washington State, and due to unique city ordinances that impact employers, WAGI does not allow anyone to work remotely from Seattle, WA. The following conditions must be met for interested candidates in their remote location: Minimum internet connection requirements and surge protection in your home A home work environment that allows you to work free from distractions and sources of background noise and free of potential hazards including tripping hazards, electrical hazards, etc. Ability to secure and protect WAGI supplied computer, phone, and systems and ensure the protection of Personal Health Information (PHI) Though this position provides the benefit of telework, it does follow a standard schedule based on the hours of operation Washington Gastroenterology has an excellent compensation and benefit package that includes the following: Employees (and their families) who work full time (defined as working 30 or more hours per week) will be eligible for medical, dental, vision, long-term disability, accidental death and dismemberment, and basic life insurance . In addition, employees are able to enroll in our company’s 401(k) plan which includes a company provided safe harbor contribution of 3% of annual earnings and the potential for a company discretionary profit-sharing contribution. All employees will be eligible to accrue PTO at a rate of .04 hours per payroll hour (1.6 hours for a 40-hour week) which can be used for and exceeds the required mandatory WA State and other local ordinances. In addition, full-time employees will be eligible for a Vacation accrual with a maximum annual accrual of 77 hours as a new hire. WAGI has 8 standard Holidays each year for which full-time employees are eligible to receive paid holiday. In addition, full-time employees will be given 1 Float Holiday each year that they can schedule. This is an Hourly position, and the anticipated Compensation range is $17.00 - $21.00. The hired applicant is also eligible for annual discretionary bonuses. Equal Opportunity Employer, including disabled and veterans. #J-18808-Ljbffr
