Healthcare Customer Service Representative

1 week ago


Connellsville, Pennsylvania, United States Excela Health Full time
Position Overview

The role involves performing administrative and clerical duties to support the operations of the Physician Practice. This position requires direct engagement with patients to collect accurate demographic and insurance details, manage appointment scheduling, and facilitate referrals, authorizations, and overall patient flow.

Key Responsibilities

  • Foster a welcoming customer service atmosphere in the reception area.
  • Maintain professional interactions with colleagues and internal stakeholders.
  • Handle phone inquiries and messages efficiently and accurately.
  • Adhere to departmental protocols for patient triage and scheduling.
  • Conduct patient interviews and pre-registration processes.
  • Input patient data into the billing system accurately.
  • Ensure correct coding of visits.
  • Identify and resolve coding discrepancies as needed.
  • Contribute to financial goals by processing payments.
  • Prepare cash sheets and manage daily cash tasks.
  • Assist in reducing organizational expenses.
  • Schedule patients in accordance with established protocols.
  • Help patients navigate access to specialty care and diagnostic testing.
  • Coordinate referrals and secure timely authorizations.
  • Support initiatives aimed at performance enhancement.
  • Uphold a clean and safe working environment.
  • Serve as a mentor for new employees and students.

Qualifications Required

  • High School Diploma or equivalent.
  • Strong leadership, organizational, and communication abilities.

Preferred Qualifications

  • Experience in an outpatient office setting.
  • Familiarity with medical terminology and healthcare coverage.

Licenses, Certifications & Clearances

  • PA Act 34 Pennsylvania Access to Criminal History Clearance.

Work Environment

Personal protective equipment such as goggles, face shields, and masks are required in accordance with CDC guidelines.

Physical Requirements

The position entails various physical activities including bending, sitting, walking, climbing stairs, and lifting.



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