Customer Service Specialist
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Job Description
Customer Service Specialist handling a high volume of patient inquiries and managing billing tasks for hospital and physician accounts. Responsible for data analysis and follow-ups in revenue cycle jobs.
Responsibilities:
- Performs tasks of moderate to difficult complexity relating to both hospital and physician accounts.
- Handles a large volume of inbound calls assisting patients with requests for information, complaints, and resolving issues.
- Responsible for making outbound calls related to self-pay follow-up on accounts.
- Responsible for data analysis and interpretation throughout all functions of revenue cycle.
- Determines reasons for denials, non-payment and overpayment, post/balance/correct electronic remittances.
- Billing and follow-up of government payers and specialized accounts.
- Analysis/correction of correct coding guidelines, preparation of accounts for appeal.
- Review/analysis of insurance credit balances, and analysis/movement of unapplied, unidentified, and undistributed balances.
Requirements:
- High School diploma or equivalent OR post-high school diploma / highest degree earned
- Two (2) years billing, bookkeeping, and/or accounting experience
- Knowledgeable of the job functions required for a A/R Follow-up Representative, Cash Posting Representative, Claims Clearinghouse Representative, Correspondence Representative, Credit Processing Specialist, Denial/Appeals Specialist, Payment Research Specialist and a Quality Assurance Specialist.
- Knowledgeable of the entire Revenue Cycle and Epic.
Benefits:
- Inspire health.
- Serve with compassion.
- Be the difference.
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