Patient Billing & Support Specialist

Carson Tahoe Health; Carson City (NV); Vor Ort; USD 21.000 - 30.000; Vollzeit

Zusammenfassung

Carson Tahoe Health in Carson City, NV seeks a Patient Accounts Customer Service Representative to be the hospital’s primary contact for patient billing inquiries and post-care account resolution. You will liaise with patients, providers, and payers, explain billing statements, verify insurance, and assist with charity screening.

Key duties include handling inbound calls, ensuring accurate balance information, and maintaining compliant documentation.

Qualifikationen

• One year clerical or customer service experience.
• One year experience with Microsoft Office (Outlook, Word, Excel).
• Basic knowledge of medical terminology, anatomy/physiology.

Aufgaben

• Accepts inbound phone calls from patients, physician offices, insurance carriers, legal offices, etc. within a specific response-to-call time-frame and with the intent to resolve the caller’s concern immediately.
• Provides exceptional customer service that aims to improve patient and/or guarantor relations and contribute to a positive work environment
• Responds promptly to patient inquiries via phone call, email, and online portal regarding hospital billing procedures, policies, and statements.
• Clearly explains service charges to patients, reports any charge/payment errors to managerial staff, and resolves any errors.
• Collects patient payments and follows levels of authority for posting adjustments, refunds, and contractual allowances.
• Provides charity applications and screening for financial assistance eligibility.
• Collects insurance information, verify eligibility and benefits and ensure policy information is added correctly
• Collaborates with third party agencies to provide accurate balance information and requested documentation.
• Communicates with legal offices fulfilling billing and balance requests.
• Understands different payer regulations and can communicate effectively with patients regarding their Explanation of Benefits (EOB).
• Documents all patient accounts activities concisely, including future steps needed for resolution.
• Interacts effectively with other departments on a daily basis to facilitate patient account resolution.
• Identifies barriers to efficient departmental operations and takes an active role in developing effective solutions.
• Makes outbound phone calls to patients to collect or make arrangements for payment of outstanding balances.
• Facilitates in-person patient inquiries on a walk-in basis during office hours.
• Return all voicemails within 24-48 business hours.
• Completes assigned work queues including obtaining worker’s compensation coverage, verifying newborn coverage, distributing patient credits, correcting payment methods, processing deceased accounts, updating payment plan balances, reviewing for surprise billing, and evaluating balances for transfer to a collections agency.
• Processes incoming mail within a timely manner (24 hours).
• Responsibly uses the safe to deposit large bills and sums of money from the cash drawer and keeps the minimum allowable amount in drawer at all times
• Fulfills all incoming fax requests from insurance providers; distributing faxes to their appropriate party when applicable.
• Accurately adds/updates patient demographic data.
• Adheres to federal and state regulations related to the protection of patient information (e.g., the Health Insurance Portability and Accountability Act (HIPAA)) as well as facility-specific guidelines.
• Engages in continuous professional development by attending staff meetings, and completing trainings periodically
• Performs other related duties as assigned.

Kenntnisse

Clerical experience

Customer service

MS Office familiarity

Medical terminology knowledge

Ausbildung

High school diploma

Tools

Microsoft Office

Jobbeschreibung

Carson Tahoe Health in Carson City, NV seeks a Patient Accounts Customer Service Representative to be the hospital’s primary contact for patient billing inquiries and post-care account resolution. You will liaise with patients, providers, and payers, explain billing statements, verify insurance, and assist with charity screening.

Key duties include handling inbound calls, ensuring accurate balance information, and maintaining compliant documentation.