Customer Service Specialist

Customer Service Specialist

7650 Revenue Cycle Management

Schedule: Day Shift. 40 hours weekly. 8:30am – 5:00pm

Type additional details specific to position and/or department.

About the Position

This position is responsible for providing exceptional customer service, problem solving, follow up account resolution and respectful, compassionate and caring patient interactions.

Overview of Responsibilities

• Communicate effectively and tactfully with patients and their families and guests, coworkers, managers, providers, and other personnel on a one-to-one basis using appropriate grammar, vocabulary, and word usage, presenting a professional image as a Reid Health representative
• Able to problem-solve, multi-task, and work well in a team environment
• Maintains accurate documentation of daily interaction of accounts worked and resolved
• Responsible for accurate posting of all payment information in a timely manner
• Maintains thorough understanding of all charges billed
• Understands the cash posting process and how it applies to patient bills
• Responsible for actively engaging in the call tree and maintaining a ready status as appropriate
• Works returned mail for incorrect or bad addresses, including updating the billing system and forwarding the mail as appropriate
• Updates insurance information if identified so claim may be resubmitted if needed
• Documents and submits complaints in Midas as required by hospital policy
• Maintains knowledge of hospital and ambulatory managed care contracts, state and federal guidelines, and departmental/organizational policies and procedures
• Follows compliance with all laws, regulations, and guidelines of federal and state programs with an emphasis on prevention of fraud, waste, and abuse
• Position includes other duties and projects as assigned to support goals and outcomes consistent with department expectations
• Actively participates in area and department meetings
• Attends other meetings as requested

This list of duties and responsibilities is not intended to be all-inclusive and can be expanded to include other duties or responsibilities that management deems necessary.

Education & Experience

• Education Required: High School Graduate or GED equivalent.
• Experience Preferred: Previous customer experience in a medical setting.