Answering incoming calls about patient medical bills, insurance, EOBs, and payment arrangements.
Utilize multiple internal systems to assist with patient billing needs.
Provide exceptional customer service to callers.
Troubleshoot billing inquiries and explain benefits coverage, course of action, and timeframes.
Ensure proper documentation, recording, and closure of issues.
Collaborate with internal departments to research insurance denials, missing payments, and attorney requests.
Perform special projects and other duties as assigned.
Requirements
Bachelor's degree in any related field.
One (1) year of customer service experience in a high volume, fast paced environment (Healthcare call center experience preferred).
Fluent in both English and Spanish.
Knowledge of the Explanation of Benefits.
Knowledge of a variety of insurance plans.
Knowledge of ICD-10 and CPT Codes.
Strong word processing, spreadsheet, and database software skills.
Strong mathematical skills in addition, subtraction, multiplication and division of whole numbers and fractions; computing percentages; and working with decimals.
Strong oral, written, and interpersonal communication skills.
Strong time management skills.
Strong organizational skills.
Strong customer service skills.
Ability to understand, analyze, interpret, and explain complex documents.
Ability to work in a team environment.
Ability to adhere to standards and quality guidelines.
Ability to read, understand, and apply state/federal laws, regulations, and policies.
Ability to remain flexible and work within a collaborative and fast paced environment.
Ability to communicate with diverse personalities in a tactful, mature, and professional manner.