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Customer Service Representative
SavistaCustomer Service Representative negotiating payments and providing support for healthcare accounts. Enabling revenue cycle improvement through effective communication and account management.
About the role
Key responsibilities & impact- Resolve patient healthcare accounts by negotiating payment with patients/guarantors while meeting or exceeding performance and quality objectives.
- Act as an advocate for the customer.
- Serve as a liaison between colleagues, clients and State/Government agencies.
- Complete daily account related functions in an efficient and timely manner to speed-up the patient-to-payment process.
- Research and reconcile accounts, communicate with clients, government and commercial payers and operating within multiple client systems.
- Provide customer service support and resolution of routine problems and questions regarding the revenue cycle.
- Through both inbound and outbound calls leveraging an auto-dialer, negotiate payment with patients/guarantors by reviewing prior account payment history.
- Respond to customer questions utilizing knowledge and expertise on insurance and healthcare.
- Answer incoming patient or client call/email requests and handle in a prompt, courteous and professional manner.
- Perform routine tasks or repetitious tasks with care and attention while maintaining accurate documentation of patient/guarantor encounters.
- Identify trends and determine root cause for balance discrepancies and perform actionable steps to resolve inconsistencies.
- Develop and maintain knowledge of patient access services and the overall effect on the revenue cycle.
- Analyze and interpret accounting documents and/or correspondence, requiring great attention to detail.
- Perform file maintenance for corrections and additions to patient records such as updating account balances, addresses, authorizations, correspondence information, statements, payment plans and account status.
- Interact with both client and internal departments to ensure proper account handling.
- Review and recommend modification to procedures and workflow as necessary to ensure efficient and effective processing of transactions.
- Process patient inquiries in a manner that ensures service level agreements (SLAs) are met or exceeded.
- Support Savista’s Compliance Program by adhering to policies and procedures pertaining to HIPAA, FDCPA, FCRA and other laws applicable to Savista’s business practices.
Requirements
What you’ll need- High school diploma or GED.
- At least 3 years of experience in a call center environment or similar role within the healthcare revenue cycle touching patient accounts.
- At least 3 years of experience working in a role with a high volume of either inbound or outbound calls.
- At least 3 years of healthcare experience working within a patient financial services office or insurance collections for all payers.
- Expert knowledge of patient access services and the overall effect on the revenue cycle.
- Payer networks, government resources, and medical terminology.
- Demonstrate ability to manage escalated calls.
- A subject matter expert with demonstrated capability to support/train/mentor other team members.
- Demonstrate experience communicating effectively with a customer and simplifying complex information.
- Understanding of medical collection terminology.
- Demonstrate ability of critical thinking skills and adhering to compliance protocols.
- Experience in a role that requires accessing multiple databases simultaneously or managing multiple open screens to gather information to discuss with a customer.
- Experience with customer interactions that require live, accurate documentation of the encounter while also communicating with members in a warm, helpful and professional manner while simultaneously building credibility and rapport.
- Demonstrate ability to meet performance objectives.
- Demonstrate success working both individually and in a team environment.
- Be patient and compassionate while working as a team player and using all available resources to provide the best outcome to the patient.
- Ability to communicate with patients in a warm, helpful and professional manner while simultaneously building credibility and rapport.
- Must be available to work a scheduled shift between the hours of 9:30AM ET and 9PM ET.
- Must participate in ongoing training and self-development.
- Must complete and pass mandatory educational requirements.
Benefits
Comp & perks- Not specified 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score
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
patient access servicesrevenue cycle managementmedical terminologyinsurance collectionsaccount reconciliationcritical thinkingdocumentationcall center experiencenegotiationcompliance protocols
Soft Skills
customer advocacycommunicationproblem-solvingteam collaborationattention to detailescalation managementpatiencecompassionmentoringperformance management
Certifications
high school diplomaGED