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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.
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.
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Medical BillingCollectionsInsurance Eligibility VerificationPayment ArrangementsAccount AuditingICD-10 CodingCPT CodingHCFA 1500 FormUB-04 FormMicrosoft Excel
Soft Skills
Interpersonal SkillsTeam CollaborationCustomer Service