Billing and Customer Service Representative Associate - Main Immediate Response Lab - Part Time[...]

The Christ Hospital Health Network; Cincinnati (OH); On-site; USD 35,000 - 50,000; Full time

Job summary

A leading healthcare provider is seeking a Customer Service Representative specialized in Billing. The role involves managing billing inquiries, resolving issues, and assisting with both customer service and billing tasks in a dynamic environment. Candidates should possess strong organizational skills and prior experience in medical billing or customer service to succeed.

Qualifications

• Prior experience in medical billing and/or customer service preferred.
• Ability to multi-task in a fast-paced environment required.
• Effective independently and in a team setting.

Responsibilities

• Manage billing work queues and resolve all billing issues for timely claims collection.
• Handle billing-related calls and update accounts as necessary.
• Review rejected claims, make corrections, and comply with federal and state regulations.

Skills

Math skills

Time management

Organizational skills

Planning skills

Oral communication

Written communication

Analytical skills

Education

High School Diploma or equivalent

College degree preferred

Tools

Microsoft Office

Job description

Job Description

The Customer Service Representative - Billing is responsible for managing billing related issues for the Laboratories Outreach and in-patient businesses. This includes managing the billing work queues, handling rejected claims and interacting with the hospital's patient billing personnel to resolve billing complaints and issues.

Responsibilities

Manages the laboratory assigned billing work queues to insure all billing issues are resolved within a time frame that enables the hospital and laboratory to collect all submitted claims

Manages billing related calls for client's patients or internal customers. Completes all follow-up actions identified during call including, but not limited to: 1) updating all accounts with corrected demographic and insurance information, 2) filing/re-filing appropriate insurance claims, 3) preparation and distribution of credits, adjustments, write-offs, or refunds to appropriate parties, 4) makes outgoing calls as needed to insurance companies, locations, and other professional, 5) submits appropriately authorized to release materials to third parties. All above actions to be completed during assigned off-telephone follow-up time.

Works reports of rejected claims from payers, keeping current on a monthly basis. Makes necessary corrections, rebills, and documents account as appropriate. Adheres to all applicable federal, state, payer and department rules.

Works as a customer service representative, non technical when required to provide support to the department

Assists the Outreach Manager as needed

Maintains currency in the field through participation in continuing education opportunities.

Qualifications

KNOWLEDGE AND SKILL:

Please describe any specialized knowledge or skills which are REQUIRED to perform the position duties. Do not list personal credentials of the current job holder that would not be required if the job were being filled. List any special education required for this position.

EDUCATION: High School Diploma or equivalent. College degree preferred.

YEARS OF EXPERIENCE: prior experience in medical billing and/or customer service preferred.

REQUIRED SKILLS AND KNOWLEDGE: Good math, time management, organizational, and planning skills required. Excellent written and oral communications skills required. Computer experience including Microsoft Office required. The ability to effectively multi-task in a fast-paced environment is required. The ability to work effectively both independently and as part of a team is required. Analytical skills enabling the individual to identify patterns of customer service issues and suggest potential resolutions are required.

LICENSES & CERTIFICATIONS:

None