Customer Service Representative PFS

WVU Medicine; Core (WV); On-site; USD 36,000 - 48,000; Full time

Job summary

SYSTEM West Virginia University Health System is seeking a billing specialist to resolve patient billing concerns and implement collection policies. You will interview patients for payment arrangements and charity assistance, and work with them to resolve account balances in a high-volume setting.

Responsibilities include posting payments, addressing payer issues, rebilling when needed, and maintaining knowledge of Medicare processes and regulations.

Qualifications

• High school diploma or equivalent.
• Experience in a healthcare setting is preferred but not required.

Responsibilities

• Accurately posts data (payments, adjustments) as needed.
• Resolves patient billing and third party payer concerns.
• Interviews &Counsels patients for payment arrangements and/or charity assistance.
• Answers patient questions quickly, accurately, and courteously.
• Rebills accounts as necessary.
• Works with patients to resolve account balances.
• Maintains current knowledge of Medicare reimbursement process and audit regulations.

Skills

Customer service

Communication skills

Med Terminology

IC-9/CPT coding

Debt collection

Medicare knowledge

MS Word/Excel

Problem solving

Diplomacy

Phone communication

Education

High school diploma

Tools

Microsoft Word

Excel

Job description

Responsible for accurate and timely resolution of patient’s billing concerns and for implementing collection policies and procedures. Responsible for interviewing and counseling patients for payment arrangements and/or charity assistance and other assigned duties. Works with patients to resolve account balances.

Minimum Qualifications

EDUCATION, CERTIFICATION, AND/OR LICENSURE

• High school diploma or equivalent.

PREFERRED QUALIFICATIONS

• One (1) year experience in a healthcare setting.
• One (1) year previous customer service experience.

CORE DUTIES AND RESPONSIBILITIES

• Accurately posts data (payments, adjustments) as needed.
• Communicates problems hindering work flow to management.
• Resolves patient billing and third party payer concerns.
• Interviews & Counsels patients for payment arrangements and/or charity assistance.
• Answers patient questions quickly, accurately, and courteously.
• Accurately identifies and screens Medicare charity within established guidelines.
• Rebills accounts as necessary.
• Works with patients to resolve account balances.

PHYSICAL REQUIREMENTS

• Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, grasping, and feeling are necessary body movements utilized in preforming duties throughout the work shift.
• Visual acuity must be within normal range.
• Must be able to exert in excess of 50 lbs. of force occasionally, and/or up to 25 pounds of force frequently, and/or up to 10 pounds for force constantly to move objects.
• Must have manual dexterity to operate keyboards, fax machines, telephones, and other business equipment.

WORKING ENVIRONMENT

• Exposed to high stress and constant interruptions.
• Normal business office surroundings.

Skills And Abilities

• Professional Interactions at all times.
• Excellent oral and written communication skills.
• Knowledge of medical terminology preferred.
• Knowledge of IC-9 and CPT coding preferred.
• Ability to use tact and diplomacy in dealing with others.
• Demonstrated customer service relations.
• Analytical skills necessary for problem solving.
• Knowledge of Fair Debt Collection Act.
• Specialized courses or seminars over and above high school that are directly related to collections, medical field, hospital business office setting.
• General knowledge of third party payers, collection laws, and collection procedures required.
• Excellent telephone communication skills.
• Working knowledge of computer including Microsoft Word and Excel.
• Demonstrates the knowledge and skills necessary to communicate to all patients per the established age specific education/standard.
• Maintains current knowledge of Medicare reimbursement process and audit regulations.
• Understands the UB92/1500 bill forms contents and EOMB’s.
• Ability to understand written and oral communication.

Additional Job Description

• Scheduled Weekly Hours: 40
• Shift: United States of America (Non-Exempt)
• Company: SYSTEM West Virginia University Health System
• Cost Center: 656 SYSTEM Customer Service