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Patient Customer Service Specialist
Lifeline ConnectionsPatient Customer Service Specialist providing exceptional service in a behavioral health organization. Verifying insurance eligibility and assisting patients with billing inquiries in a remote setting.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical billing practices, insurance claim processing, and patient financial responsibility while ensuring compliance with HIPAA requirements. Proficient in utilizing electronic health record systems and Microsoft Office applications to manage billing inquiries and maintain accurate account records.
Highest-signal resume keywords
Medical Billing PracticesInsurance Claim ProcessingICD-10 And CPT CodingElectronic Health Record (EHR) SystemsCustomer Service Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medical BillingCollectionsInsurance Eligibility VerificationPayment ArrangementsAccount AuditingICD-10 CodingCPT CodingHCFA 1500 FormUB-04 FormMicrosoft Excel
Soft Skills
Interpersonal SkillsTeam CollaborationCustomer Service
Tools & Technologies
Electronic Health Record (EHR) SystemsQualifacts CareLogic
Industry Keywords
Healthcare Revenue Cycle OperationsPatient Financial ResponsibilityComplianceHIPAA Requirements
About the role
Key responsibilities & impact- providing exceptional service to patients with commercial insurance coverage and self-pay accounts.
- verifying insurance eligibility and benefits, assisting with payment arrangements, resolving account issues.
- serving as a primary point of contact for patient billing inquiries.
- contacts patients regarding outstanding balances, denied claims, payment requests, and overdue accounts.
- establishing and monitoring payment arrangements as appropriate.
- processing and submitting patient refund requests in accordance with established policies and procedures.
- maintaining daily account follow-up worklists and assigned account inventories while meeting established productivity and quality standards.
- auditing patient accounts to ensure accuracy and completeness of billing and payment information.
- providing outstanding customer service to patients, staff, providers, and external stakeholders.
- ensuring the integrity and completeness of account records and compliance with HIPAA requirements.
Requirements
What you’ll need- Minimum of one (1) year of experience in medical billing, collections, healthcare revenue cycle operations, or a nonprofit healthcare environment preferred.
- Minimum of one (1) year of customer service experience required, preferably in a healthcare or patient-facing environment.
- Working knowledge of medical billing practices, insurance claim processing, Medicaid programs, ICD-10 and CPT coding, HCFA 1500 and UB-04 claim forms, and payer requirements for reimbursement.
- Understanding of healthcare insurance eligibility, benefits verification, patient financial responsibility, and collections processes.
- Experience with electronic health record (EHR) systems required; prior experience with Qualifacts CareLogic preferred.
- Proficiency in Microsoft Office applications, particularly Microsoft Excel, with the ability to create, maintain, and analyze reports accurately.
- Strong interpersonal skills with the ability to work collaboratively and effectively as part of a team.
Benefits
Comp & perks- multiple options for medical, dental, and vision coverage for employees and their eligible dependents.
- employer-paid Short Term Disability, Long Term Disability, and Life Insurance.
- access to supplemental coverage options.
- 401(k) retirement plan.
- competitive paid time off accruement that increases with years of service.
- paid holidays and personal holidays.