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Billing Customer Service Specialist

2 months ago

Chardon, Ohio, United States University Hospitals Full time
Position Overview
This role primarily involves a blend of customer service and billing support, focusing on assisting patients and their families with inquiries related to billing. As a representative of the Revenue Cycle Management department, you will provide essential support to incoming calls, ensuring a patient-centered approach. The ideal candidate will have a solid understanding of hospital and physician revenue management, including coding, billing, insurance follow-up, and collection practices.

Key Responsibilities
  • Manage inbound and outbound calls, dedicating a significant portion of time to resolving inquiries effectively and efficiently.
  • Thoroughly document all interactions and apply necessary transactions to patient accounts.
  • Collaborate with internal and external resources to fulfill requests.
  • Process payments via various methods, including electronic checks and credit cards.
  • Assist patients in understanding and accessing financial assistance programs.
  • Facilitate payment plan arrangements, ensuring compliance with departmental policies.
  • Identify and analyze patient needs, providing appropriate solutions.
  • Maintain confidentiality and professionalism in line with HIPAA regulations.
  • Communicate issues and contribute to process improvements.
  • Conduct research on accounts, processing adjustments and responding to patient inquiries to maximize revenue collection.
  • Ensure accurate account management by processing necessary documentation within established timeframes.
  • Coordinate with agencies and vendors to resolve patient accounts.
  • Follow up with insurance companies to ensure proper claim payments and resolve denials.
  • Assist in analyzing claims resolution and providing feedback for process enhancements.
  • Support the development of new procedures aimed at improving work quality and efficiency.
  • Engage in price transparency initiatives and educate patients as needed.
  • Help establish performance goals and monitor compliance.
Additional Duties
  • Perform other assigned tasks as needed.
  • Adhere to all policies and standards.
  • Refer to departmental documentation for specific responsibilities during orientation.
  • Ensure the secure handling of Protected Health Information (PHI) in compliance with training and policies.
Qualifications
Education
  • High School Diploma or GED (Required)
Experience
  • Minimum of 1 year in medical billing, financial services, or customer service (Required)
  • Experience with medical billing software (Required)
Skills and Abilities
  • Proficient knowledge of hospital and physician billing (Preferred)
  • Experience in customer service with multitasking capabilities (Preferred)
  • Strong written and verbal communication skills (Required)
  • Advanced analytical and problem-solving skills (Required)
  • Exceptional client service and relationship-building abilities (Required)
  • Self-motivated with the ability to work independently in a fast-paced environment (Required)
  • Familiarity with claim submission processes and third-party payers (Preferred)
  • Proficient in medical billing terminology and workflow (Preferred)
  • Proficient in Microsoft Office Suite and general office equipment (Required)
Physical Requirements
  • Occasional standing and walking
  • Constant sitting
  • Rare lifting or carrying of up to 20 lbs
  • Frequent talking and hearing
  • Frequent eye/hand/foot coordination
Travel Requirements
  • Up to 10%