Customer Service Representative
2 days ago
The Customer Service Representative will work under the supervision of the Customer Service Team Leader and Manager, Customer Service, and will have direct contact with our patient population. This role will provide excellent customer service primarily by telephone to all Evangelical Community Hospital (ECH) and Evangelical Medical Services Organization (EMSO) customers. The representative will assist customers with coverage/claims related questions and accurately interpret benefits and policy provisions for all insurance products accepted at ECH/EMSO facilities to account resolution. Conducting appropriate research and follow-up with all areas of the ECH/EMSO organizations, as needed, to provide prompt resolution of disputed claims to patient's satisfaction.
Key Responsibilities
1. Provide exceptional customer service to patients and families through telephone interactions, ensuring a positive experience and resolving issues in a timely manner.
2. Interpret benefits and policy provisions for all insurance products accepted at ECH/EMSO facilities, accurately resolving customer inquiries and concerns.
3. Conduct research and follow-up with various departments to resolve disputed claims and ensure patient satisfaction.
4. Collaborate with the Customer Service Team Leader and Manager to develop and implement strategies to improve customer satisfaction and resolve issues efficiently.
Requirements
1. High School Diploma or equivalent required.
2. Two years of experience in Revenue Cycle Billing and Collections, with healthcare experience preferred.
3. Knowledge of medical terminology acquired through completion of a course or experience in a healthcare environment preferred.
4. Experience in interpreting Payer Contracts and determining accurate payments on patient accounts preferred.
5. Proficiency in MS Excel for data entry, reviewing reports, and sorting/filtering documents preferred.
Working Conditions
* Frequent interruption, crowded conditions, or excessive noise 80.00%
* Lifting, pushing, and pulling materials up to 15lbs 10.00%
* Must be able to see/hear, or use prosthetics 100.00%
* Frequently required/prolonged sitting, standing, or walking 65.00%
About Evangelical Community Hospital
Working at Evangelical Community Hospital means being part of a vital tradition of service to our community. We maintain a challenging, energized work environment for our valued employees who exemplify our Core Values: Quality Service, Compassion, Respect, Professionalism, Integrity, Cooperation, and Creativity. Together, we commit to excellence every day as we strive to provide exceptional healthcare, accessible to all, in the safest and most compassionate atmosphere possible to build a healthy community.
About WellSpan Health
WellSpan Health's vision is to reimagine healthcare through the delivery of comprehensive, equitable health and wellness solutions throughout our continuum of care. As an integrated delivery system focused on leading in value-based care, we encompass more than 2,300 employed providers, 220 locations, nine-award-winning hospitals, home care, and a behavioral health organization serving central Pennsylvania and northern Maryland. With a team 23,000 strong, WellSpan experts provide a range of services, from wellness and employer services solutions to advanced care for complex medical and behavioral conditions. Our clinically integrated network of 3,000 aligned physicians and advanced practice providers is dedicated to providing the highest quality and safety, inspiring our patients and communities to be their healthiest.
Affirmative Action/Equal Opportunity Employer
Evangelical Community Hospital is an Affirmative Action and Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.
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