Self-Pay, Customer Service
2 weeks ago
** 61st Street Service Corporation**
** Self-Pay, Customer Service & Adjustments Specialist II #Full Time**
New York, NY 10036
**The 61st Street Service Corporation**
At 61st Street Service Corporation we are committed to providing our client with excellent customer service while maintaining a productive environment for all employees. The Service Corporation offers a competitive comprehensive Benefit package to eligible employees; including Healthcare and various other benefits including Paid Time off to promote a healthy lifestyle.
We are an equal employment opportunity employer and we adhere to all requirements of all applicable federal, state, and local civil rights laws.
**Job Summary**:
The Self-Pay, Customer Service, Adjustments Specialist II is responsible for managing self-pay balances including installment accounts, receiving payments, and processing collection accounts. This position will establish payment arrangements per guidelines. The individual will also be responsible for answering inquiries and providing explanations or solutions to patient concerns and questions regarding charging.
Incumbent is responsible for answering incoming customer telephone inquiries, provide explanations or solutions to patient concerns and questions regarding charging, insurance and patient billing issues. Will Review credit balance accounts and making adjustments if necessary.
**Job Requirements**:
- Manage and review departmental self-pay accounts.
- Receive payments and post amount to customer's account.
- Establishes payment arrangements per guidelines. Document terms in the billing system.
- Handle customer inquiries, disputes, and complaints. Escalate contentious complaints to the supervisor or higher management.
- Collect full payment from the patient or guarantor.
- Obtain all insurance, demographic, guarantor information, and update patient profile as well as bill third party payers as appropriate.
- Handle patients, referral sources, and administrative department inquires
- Assist patients with inputting their healthcare information.
**Minimum Qualifications**:
- High school graduate or GED certificate is required.
- A minimum of 1 years experience in a physician billing or third party payer environment.
- Candidate must demonstrate working knowledge of contracts, insurance benefits, exclusions, and other billing requirements as well as claim forms, HMOs, PPOs, Medicare, Medicaid and compliance program regulations.
- Candidate must demonstrate the ability to understand and navigate the payer adjudication process.
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