Onsite Healthcare Customer Service Specialist

Orangecountyglobalmedicalcenter; Santa Ana (CA); On-site; USD 44,000 - 66,000; Full time

Job summary

Orangecountyglobalmedicalcenter in Santa Ana, CA, is seeking a Customer Service Representative to answer telephones, route callers, take messages and provide routine information. This is a fully onsite, full-time position.

Responsibilities include assisting with patient billing inquiries, coordinating with insurance, counseling patients on external financial assistance, and maintaining accurate records in a high-volume healthcare setting.

Qualifications

• High school diploma or equivalent required.
• Previous customer service experience required.
• Healthcare experience highly preferred.

Responsibilities

• Maintains established departmental policies and procedures, objectives, quality improvement program, safety, environmental and infection control standards.
• Operates microfilm equipment in retrieving file data.
• Interprets insurance program procedures and provisions to resolve routine patient billing inquiries and problems.
• Counsels patients requiring external financial assistance, including recommending third parties.
• Answers all inquiries regarding patient accounts.
• Researches credit balance accounts, refunds overpayments to patient, guarantor or third party payer.
• Secures information relative to patient’s financial status or insurance coverage.
• May complete insurance forms, verify insurance coverage, and secure other information if needed.
• Prepares appropriate information for billing personnel.
• Negotiates contractual payment plans with patients as authorized.
• Performs a variety of routine typing and clerical duties as necessary.
• Receives complaints of poor or inadequate service and determines action to be taken.
• Traces missing files.
• Attends meetings as required.
• Other duties as assigned.

Skills

Communication

Multitasking

Independent work

Professionalism

PC proficiency

Phone systems

Emergency response

Education

High school diploma

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Customer Service Representative

Rev Cycle/CBO Full Time KPC SANTA ANA, Santa Ana, CA, US

30+ days ago Requisition ID: 1490

Salary Range: $21.00 To $31.50 Hourly

* THIS IS A FULLY ONSITE POSITION*

SUMMARY

Answers telephones, routes callers, takes messages and provides routine information to callers

REQUIREMENTS

RESPONSIBILITIES AND DUTIES:

• Maintains established departmental policies and procedures, objectives, quality improvement program, safety, environmental and infection control standards.
• Operates microfilm equipment in retrieving file data.
• Interprets insurance program procedures and provisions to resolve routine patient billing inquires and problems.
• Counsels patients requiring external financial assistance, including recommending third parties.
• Answers all inquiries regarding patient accounts.
• Researches credit balance accounts, refunds overpayments to patient, guarantor or third party payer.
• Secures information relative to patient’s financial status or insurance coverage. May complete insurance forms, verify insurance coverage, and secure other information if needed.
• Prepares appropriate information for billing personnel.
• Answers telephones, routes callers, takes messages and provides routine information to callers. Responds promptly to inquiries and requests.
• Negotiates contractual payment plans with patients as authorized.
• Performs a variety of routine typing and clerical duties as necessary.
• Receives complaints of poor or inadequate service and determines action to be taken.
• Traces missing files.
• Attends meetings as required.
• Other duties as assigned.

EDUCATION & EXPERIENCE REQUIREMENTS:

• High school diploma or combination of relevant experience and education required.
• Previous customer service experience required
• Healthcare experience highly preferred

SKILLS & ABILITIES REQUIREMENTS:

• Outstanding communication, interpersonal, mulit-tasking and analytical skills
• The ability work well with minimal supervision in a high-volume environment
• Proven ability to remain composed and professionally under difficult situations with a strong team approach
• PC proficiency with various Windows applications
• Knowledge of phone systems and technology
• Skill in recognizing and responding to emergency/high-priority situations

PHYSICAL REQUIREMENTS:

Body Positions: Sitting and standing for prolonged periods.

Body Movements: Arm and hand dexterity.

Body Senses: Must have command of close and distant sight, color perception and hearing.

Strength: Ability to lift and move up to 25-pounds.

• Work in an office, where the climate is controlled
• Occasional travel between medical groups and/or hospitals when necessary. 0-25 % of the time.

OSHA exposure category: III

• Category I – Position includes tasks that involve exposure to Blood borne Pathogens.
• Category II – Position includes tasks that do not have exposure to Bloodborne Pathogens, however employment may require unplanned Category I tasks.
• Category III – Positions includes tasks that do not involve exposure to Bloodborne Pathogens. This position would not be required to perform Category I tasks.