Customer Service Rep

C999 UMass Memorial Health Care, Inc.; Worcester (MA); On-site; USD 2,885,000 - 4,032,000; Full time

Benefits offered by this job

Signing bonus

Job summary

UMass Memorial Health is hiring for a Billing Customer Service role in Worcester, MA. The incumbent will respond to patient bills for hospital and physician accounts, using the billing system and related databases, and coordinate with other departments to resolve inquiries.

Requires a high school diploma and 3 years of relevant experience including telephone customer service; knowledge of insurance and medical terms is essential.

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.

Responsibilities

• Responds to patient inquiries by accessing the billing system.
• Uses internal and external databases to resolve patient inquiries.
• Operates within call distribution center protocols.
• Works in assigned system work queues.
• Processes patient correspondence via mail, voicemail, and email.
• Communicates with revenue cycle areas to resolve questions.

Skills

Telephone customer service

Medical terminology

Insurance knowledge

Education

High School Diploma

Job description

Are you a current UMass Memorial Health caregiver?

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) This position may have a signing bonus 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.

Responsible for responding to and resolving varied inquires/requests received via telephone, mail, email, and in person from patients regarding their bills for both hospital and physician accounts.

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:

• Complies with established departmental policies, procedures and objectives.
• Attends variety of meetings, conferences, seminars as required or directed.
• Demonstrates use of Quality Improvement in daily operations.
• Complies with all health and safety regulations and requirements.
• 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.
• Maintains, regular, reliable, and predictable attendance.
• Performs other similar and related duties as required or directed.

All responsibilities are essential job functions.

II. Position Qualifications:

License/Certification/Education: Required:

• High School Diploma

Experience/Skills: Required:

• 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.

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, gender identity, 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.

Who is a caregiver?

It’s not just the person who delivers the care. It’s all the people who make it work … and make it better. Caregivers give everything that helps patients heal, from expertise to extra attention. They give clean, comfortable rooms. Fast, accurate answers. And an easier, less stressful experience. They give warm, reassuring smiles, and helping hands. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, our community and each other. And everyone, in their own unique way, plays an important part, every day.