Wolcottwoodandtaylor
Healthcare Customer Service Representative
Chicago
Sponsorship not specifiedDetected 17 hours ago
ComplianceExcelCustomer SupportHIPAAEpicResearchCommunicationProblem SolvingCritical ThinkingTime ManagementOrganizational SkillsMicrosoft Office
About the role
- The Self-Pay Billing Office (SBO) & Customer Service unit is responsible for responding to all incoming inquiries from patients, departments, various billing agencies and other external inquiries.
- The representative in this team has frequent contact with patients, Patient Financial Services staff, clinic and hospital staff and management, and managers, as well as billing and professional fee and collection services vendors.
- The SBO Customer Service Specialist has a thorough knowledge of WWT & UI Health insurance contracts as the unit deals regularly with complex policy and procedural issues that involve contract compliance regarding HMO, PPO and government payers.
Requirements
- High School diploma or equivalent required.
- Experience should demonstrate expert level knowledge of analyzing and resolve complex problems in a quick and effective manner.
- Must have the ability to analyze and interpret data, good problem-solving skills and initiative.
- Experience should also demonstrate the use of effective communication skills with patients and staff
- Negotiates prompt payment discounts, sets up payment plans according to departmental guidelines, and has a working knowledge of the organization's discount and charity policy.
Nice to have
- Working knowledge of Epic is preferred.
Skills
- Epic, DataArk (McKesson), Availity, MEDI, On-BaseMS Outlook, MS Excel, MS Word, Medicare Connex, One Source and other payer websites.
- Knowledge, Skills & Abilities
Compensation
- Working knowledge of insurance billing requirements, UB04 and HCFA 1500 claim forms, EOBs, Workers' Compensation, Personal Injury, HMOs, PPOs, MCO, Medicare, Medicaid and compliance program regulations.
Benefits
- Meets WWT & UI Health guidelines, government and HIPAA policies and procedures by utilizing multiple databases and applications.
- Provides first level financial assistance screening for patients that may qualify for Medicaid coverage or charity care including creating cases for FCMU follow up.
- Updating patient demographics such insurance coverage, address, employer or covered member information.
- Assist screening, coverage changes, etc.
- Previous call center or customer service experience in the medical field required.
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