Customer Service Specialist - 153381

What You Can Expect

The Customer Service Specialist is responsible for resolving self-pay accounts. Customer Service Specialist will answer incoming calls from patients or their representatives, answer inquiries and questions, handle complaints, troubleshoot problems, collect patient balances, and provide any other relative information. This will all be done while maintaining strong relations with patients, guarantors, and business office departments.

• Accepts inbound phone calls from patients, physician offices, insurance carriers, etc. often within a specific response-to-call timeframe and with the intent of collecting self-pay balances owed and resolving any concerns promptly.
• Makes outbound phone calls to patients, physician offices, insurance carriers, etc., as needed.
• Adheres to all applicable laws, regulations, and industry standards, including HIPAA guidelines.
• Verifies each patient before disclosing information and helps them update account information such as phone number, address, or email address.
• Maintains and improves quality results by adhering guidelines, and call metric and time management standards.
• Follows scripts as provided to facilitate consistent and expedient account resolution.
• Facilitates and/or responds promptly to patient inquiries regarding billing procedures, policies, and statements.
• Utilizes multiple resources to resolve patient inquiries while on the phone.
• Documents all patient accounts activities concisely, including future steps needed for resolution.
• Under direct supervision, resolves routine questions and problems and escalates more complex issues appropriately.
• May prepare written responses to patients and customers regarding account resolution.
• Interacts effectively with other administrative departments and hospital service areas to facilitate patient account resolution.
• Effectively answer patient questions on how insurance claim was processed using all appropriate terminology to ease universal understanding of information.
• Actively engage in opportunities for continuous learning and development, including training programs, mentorship, and leadership development.
• Other duties as assigned.

Qualifications

• Education: High school diploma or equivalent
• Experience: 1 year relevant experience

Benefits

We offer a robust benefits package to support our teams both professionally and personally. In addition to a competitive salary and retirement plans, we ensure our team feels supported in their benefits beyond the typical medical, dental, and vision offerings. We care about you and have fantastic financial and physical wellness options, such as: on-site massages, on-site counseling via our Employee Assistance Program, access to the Personify Health Wellness tool, as well as other formal training and career development offerings to ensure you are meeting your career goals.