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Customer Relations Specialist Team Supervisor

2 months ago

Indiana, Pennsylvania, United States Deaconess Midtown Hospital Full time
Position Overview:
As a vital member of our team, the Customer Relations Specialist Team Lead will be instrumental in upholding our commitment to exceptional service and care.

Work Schedule:
- Full Time Evening
- Monday to Sunday
- Shift Start and End Times: Varies
- Rotating Holiday Assignments

Key Responsibilities:
- Gather information through various channels, including phone and online platforms, to accurately register patients for outpatient services.
- Verify insurance eligibility and discuss Advanced Beneficiary Notices (ABN) as necessary.
- Obtain necessary certification or pre-certification for scheduled outpatient procedures.
- Ensure adherence to State and Federal regulations.
- Manage work queue functions and perform follow-ups on denials.
- Handle inquiries via phone, fax, and email, and respond to correspondence.
- Perform additional duties that contribute to Continuous Quality Improvement.
- Escalate cases to financial counselors when required.
- Communicate with healthcare providers when pre-certification is not obtained to facilitate the acquisition of essential clinical information.

Qualifications:
- High school diploma or GED is required.
- Familiarity with the healthcare revenue cycle is preferred.
- Understanding of insurance processes is advantageous.
- One to two years of experience in Nursing or Patient Access is desirable.

Why Join Deaconess?
Deaconess Midtown Hospital is a leading healthcare provider in the region, dedicated to excellence in patient care. We are proud to be recognized for our commitment to quality and service.

As we continue to grow, we invite skilled and compassionate individuals to contribute to our mission of putting people at the heart of everything we do, making a meaningful impact on the lives of our patients, families, and community.