Client Service Representative

2 weeks ago

Westwood, Massachusetts, United States Coronis Health Full time
Job Title: Client Service Representative

Job Summary:

The Client Service Representative is an entry-level position on the Client Services team at Coronis Health. This role is responsible for collecting accounts receivable for multiple or larger specific payors in a timely and systematic fashion. The primary goals are to facilitate increased cash flow and decreased A/R days on assigned accounts.

Key Responsibilities:
  • Conduct follow-up with insurance companies on denied and rejected claims, following up on non-payment of claims according to the Company's guidelines.
  • Verify eligibility for insurance coverage through various means.
  • Conduct necessary investigation and follow-up on unpaid, self-pay and/or litigation accounts using resources provided by Coronis.
  • Communicate with self-pay patients regarding outstanding balance and timely pay-off of account, establishing individual payment plans based on pre-established collection procedures.
  • Collect outstanding balances on patient accounts following Coronis accounts receivable management collection procedures and appropriate laws and regulations.
  • Process mail received from physicians, insurance companies and patients regarding outstanding accounts.
  • Process Credit Status Reports and take steps necessary to adjust accounts or indicate true refunds.
  • Initiate adjustments to accounts including referral to collections, write-offs, and insurance adjustments according to Coronis collection guidelines.
  • Participate in regular team meetings to discuss pertinent issues, changes, and/or enhancements to the collections function.
  • Identify trends and issues related to payors, invoice set-up, and end-user errors, related to AR Follow-up and communicate information about this to the AR Manager, Team Lead and Job Account Managers.
  • Initiate updates to Client-specific Requirement Notes and dictionaries when necessary.
  • May assist in the training and cross training of newer staff.
Requirements:
  • High School diploma or equivalent.
  • 1-2 years relevant work experience in a physician or medical insurance/collections environment.
  • Excellent communication skills (both verbal and written).
  • Detail oriented.
  • Proficient in Microsoft Office; MS Word, MS Excel, MS Outlook.
  • Ability to multi-task.
  • Strong organization skills.
  • Knowledge of HIPAA laws.
  • Knowledge of health insurance billing and collections.

The Company is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

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