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Customer Service Billing Specialist
2 months ago
About Community Health Centers
At Community Health Centers, we're dedicated to improving the health and well-being of our community. We offer a supportive and rewarding work environment where you can make a real difference in people's lives.
Job SummaryWe are seeking a highly motivated and customer-focused Bilingual Customer Service Billing Representative to join our team. In this role, you will be responsible for handling a wide range of billing inquiries, payments, and account management tasks. Your primary focus will be on assisting customers with resolving billing issues, providing clear explanations of billing processes, and ensuring timely and accurate processing of payments.
Responsibilities- Customer Service Excellence:
- Respond to a high volume of inbound and outbound calls from patients regarding billing inquiries, account balances, payment processing, and billing disputes.
- Provide clear and detailed explanations of billing statements, charges, fees, and payment options.
- Assist patients in updating their account information, including contact details, billing addresses, and payment methods.
- Process payments over the phone, ensuring accuracy and security.
- Collaborate with team members to address complex billing issues and escalate unresolved issues as needed.
- Document all customer interactions accurately and thoroughly in our systems.
- Verify insurance plans through various web portals.
- Adhere to established protocols for handling sensitive customer information and privacy regulations, such as HIPAA.
- Provide exceptional customer service by actively listening to patients, empathizing with their concerns, and demonstrating a willingness to assist and resolve issues.
- Billing Expertise:
- Review claims for accuracy in accordance with Medicare, Medicaid, and Managed Care policies.
- Transfer balances to patient responsibility for non-covered items, denied benefits, or charges applied to the deductible.
- Self-Pay Collections:
- Review accounts and appropriately place claims in our collection management system.
- Send collection letters and establish phone conversations concerning outstanding balances, following established guidelines.
- Establish payment arrangements with responsible parties for outstanding balances.
- Process returned mail according to established policy and procedure.
- Answer patient questions regarding their account balance.
- Process electronic files for monthly patient statements.
- Make necessary adjustments to correct patient accounts for accurate billing.
- Provide recommendations to the Patient Accounts Receivable Manager regarding account disposition (collection agency placement, write-off discharge, etc.).
- Ensure accuracy of payments received from third-party payers per contracts and current reimbursement rates.
- Post contractual adjustments as required for Medicare, Medicaid, HMO, PPO, and other accounts per contracts and current reimbursement rates.
- Process payments and maintain accurate records.
We offer a competitive benefits package that includes:
- Health insurance
- Dental insurance
- Vision insurance
- Paid time off
- Retirement plan
