Customer Support Team Lead
1 month ago
This position is responsible for addressing all Self-Pay and Uninsured accounts to secure of payment in full for services provided as quickly as possible. Interacts with patients, insurance companies, various government agencies and physicians to address outstanding patient account balances. Trains and coaches Account Resolution Specialists.
Required Skills:
High School Diploma or GED - Required
Work Experience and Additional Information
Five years medical billing or collections experience. Must be familiar in dealing with insurance companies, - Required
managed care plans, and physician billing. 2 years experience with Medicaid billing guidelines and claims
payments.
Previous experience with collections associated with Bankruptcies and Probates Preferred
Duties & Responsibilities
•Reviews all invoices in their work file for balances based on established thresholds. Researches all bad debt accounts for
account balances over $3500.00. Also reviews pre-collection invoices with balances of $1000.00 or more prior to the account
being referred to a collections agency. Contacts patients to obtain payment. Contacts insurance companies to verify
insurance benefits and eligibility. Assists physicians who have patients with an undocumented immigration status to received
Medicaid for medical treatments. This position is also responsible for addressing past due bills associated with Estates and
Probates, and Bankruptcies. Works with government-funded programs, State agencies, and financial hardship applications. Reviews and files claims on estates for deceased patients. Detailed comments of follow up must be noted in Financial
Comments. All other calls through the Patient Services Department telephone lines are to be handled according to the
Account Resolution Specialist Job Description.
•Trains new employees how to use the Avaya phone system as well as GE and all other online systems. Help staff with issues and escalated calls. Assists Manager with daily operations. Upon the manager's absence, ensures that reports are
downloaded and distributed
•Act as liaison between Revenue Cycle Operations and the Financial Specialists throughout the Practice Plan. Assists the
Financial Specialists in resolving issues including moving credits from patient accounts and billing insurance companies.
Works with collections agencies to assist in resolving patient complaint letters and any other incoming mail and/or emails
received by the collections agencies from the patients.
•Answers phone calls in the queue to help with overflow from the Account Resolution Specialists when there are additional
taffing needs. Assists the Account Resolution Specialists with resolution of their issues, including access to hospital websites. Assists the Refund department between the insurance company and the patient.
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