Bilingual Customer Service Specialist

1 month ago

Melville, United States GetixHealth Full time
Hospital based position that can be hybrid after 90 days of excellent performance.
Hybrid position will require you to report to hospital for coverage if colleague calls out.
Our Internet Speed Test will need to be passed before you can work hybrid.
Shift is between hours of 8:00am-5:00pm EST, with Tuesday nights be late. 10am-7pm
Compensation is $19/hr and position is quarterly bonus eligible.

Principal Responsibilities

  • Maintain the appropriate level of work activity according to work standards and establish work processes to ensure timely certification for eligibility programs.
  • Retrieve and forward requested records and information, including medical records, insurance policy information, remittance advice, and itemized statements, to appropriate parties.
  • Analyze, distribute, and follow-up on special requests and adjustments with hospital personnel.
  • Process any electronic payments, be able to settle accounts/ set payment arrangements behalf of the facility.
  • Print out UB04 claim forms and keep accurate records of patient encounters.
  • Maintain consistent proactive communication with the patient or patient representative throughout the eligibility process, keeping the patient informed of the account progress.
  • Screen patients and/or patient representatives to determine potential eligibility for Third Party resources.
  • Communicate effectively with physicians, case managers, social workers, and hospital business office staff on a daily basis to ensure questions are answered and issues are addressed.
  • Educate patients and patient representatives of the eligibility requirements, application process, and verification requirements for applicable programs.
  • Maintain a professional relationship with the patient and governmental agencies to ensure cooperation and compliance.
  • Document pertinent patient information and all work activity in the appropriate systems dictated by company policies and procedures.
  • Ensure accounts are processed in accordance to Eligibility Program standards, Client expectations, and all applicable federal and state regulations guidelines.
  • Responsible for understanding and complying with all policies, procedures, and regulations relating to job duties. Perform other duties as assigned by management and or requested by the facility not outlined above.
Experience and Education Requirements
  • High School Diploma or General Educational Development (GED) certificate or equivalent in relevant work experience desired.
  • Previous healthcare coverage/eligibility experience preferred.
  • Proficient personal computer skills including Microsoft Office.
  • Ability to maintain the highest level of confidentiality.
  • Bilingual (Spanish) a plus.
  • Excellent interpersonal, written, and oral communication skills.
  • Ability to work in a team fostered environment.
  • Ability to work in a multi-tasked environment.
  • Ability to prioritize and organize work.
  • Ability to adapt to a flexible schedule.
  • Work Environment
  • Office environment.
  • Ability to lift and/or move 20 pounds with or without accommodation.
  • Walking is required

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