Customer Service Rep

Talentify; Worcester (MA); On-site; USD 44,000 - 61,000; Full time

Benefits offered by this job

Signing bonus

Union: SHARE

Job summary

UMass Memorial Health in Worcester, MA is seeking a Billing/Patient Accounts Associate to respond to inquiries from patients and responsible parties by phone, email, or in person. The role sits in the Single Billing Office and supports insurance eligibility, payments, and account adjustments within the revenue cycle.

The position is non-exempt, full-time, Mon-Fri, 8:00 AM to 4:30 PM, 40 hours weekly. A High School Diploma and at least three years of customer service experience are required;

Qualifications

• Three years of relevant work experience, including telephone customer service.
• Knowledge of third party insurance and medical terminology.
• Demonstrated ability to deal effectively with the public, physicians, and others, both inside and outside of the organization.
• Computer skills. Excellent customer service skills and demonstrated problem solving ability.

Responsibilities

• Responds to patient/responsible party inquiries/requests for both physician and hospital accounts via telephone, mail, email and in person by accessing the billing system.
• Accesses other relevant vendor applications to assist in resolution of patient inquiries.
• Operates within the protocols for a call distribution center.
• Works assigned system work queues within established protocols.
• Processes patient correspondence, voicemail, and emails for Single Billing Office.
• Communicates with other areas of the revenue cycle to resolve patient inquiries.
• Performs insurance eligibility and updates, money transfers, account adjustments, review of EOBs, processing of credit card payments, updates to demographics, establishes payment plans, requests for refunds, and updates to guarantor information.
• Handles walk-in patient inquiries on-site and in-person.
• Documents all actions taken in billing system.
• Completes daily statistic summary report.

Skills

Customer service

Phone support

Medical terminology

Insurance knowledge

Communication

Problem solving

Education

High School Diploma

Job description

Exemption Status

Non-Exempt

Hiring Range

$20.94 - $29.27 (based on a full time schedule of 40 hours per week).

Please note that the final offer will vary based on scheduled hours. Compensation for part-time or reduced schedules will be prorated based on scheduled weekly hours, experience, skills, qualifications, and internal equity considerations.

Schedule Details

Monday through Friday

Scheduled Hours

8:00 AM to 4:30 PM

Shift

1 - Day Shift, 8 Hours (United States of America)

Hours

40

Cost Center

99940 - 5430 Single Billing Office

Union

SHARE (State Healthcare and Research Employees)

Signing bonus may be available; a member of the Recruitment Team will confirm eligibility during the interview process.

Everyone Is a Caregiver

At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day.

I. Major Responsibilities

• Responds to patient/responsible party inquiries/requests for both physician and hospital accounts received via telephone, mail, email and in person by accessing the billing system.
• Accesses other relevant vendor applications, such as internal and external databases to assist in the resolution of patient inquiries.
• Operates within the protocols for a call distribution center.
• Works assigned system work queues within established protocols.
• Processes the patient correspondence patient voice mail, and patient emails for Single Billing Office.
• Communicates with other areas of the revenue cycle to resolve patient inquiries.
• Performs insurance eligibility and insurance updates, money transfers, account adjustments, reviewing of patient EOBs, processing of credit card phone payments, updates to demographic information, establishes payment plans, requests for patient refunds, and updates to guarantor information.
• Handles walk-in patient inquiries on-site and in-person.
• Documents all actions taken in billing system.
• Completes daily statistic summary report.

Standard Staffing Level Responsibilities

1. Complies with established departmental policies, procedures and objectives.
2. Attends variety of meetings, conferences, seminars as required or directed.
3. Demonstrates use of Quality Improvement in daily operations.
4. Complies with all health and safety regulations and requirements.
5. Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors.
6. Maintains, regular, reliable, and predictable attendance.
7. Performs other similar and related duties as required or directed.

All responsibilities are essential job functions.

II. Position Qualifications

License/Certification/Education

• High School Diploma

Experience/Skills

• Three years of relevant work experience, including telephone customer service.
• Knowledge of third party insurance and medical terminology.
• Demonstrated ability to deal effectively with the public, physicians, and others, both inside and outside of the organization.
• Computer skills. Excellent customer service skills and demonstrated problem solving ability.

Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements.

Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents.

III. Physical Demands and Environmental Conditions

Work is considered sedentary. Position requires work indoors in a normal office environment.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day.

As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law.

If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at [e-mail]. We will make every effort to respond to your request for disability assistance as soon as possible.