Research, obtains and enters missing information/demographics for completion of accessions.
Conducts data entry for completion of accessions.
Demonstrates competency in eligibility, billing and receivable systems and associated applications.
Educates external customers on how to provide complete billing information and avoid additional contacts for information.
Informs customers of billing problems/issue findings and resolutions as appropriate.
Make outbound calls to clients, patients, carriers and/or any internal or external source as needed to obtain missing or additional information.
Answer inbound calls from clients, patients, carriers and/or any internal or external source as needed to answer account inquiries or resolve issues.
Responds to account inquires through written correspondences if unable to resolve via phone.
Handles sensitive client and patient interactions.
Maintains timely, accurate documentation for all appropriate transactions.
Generates and/or distributes reports and documentation to internal or external client to obtain missing information.
Reports problems, errors, and denial trends to management including PHI breaches.
Ability to work independently and as part of a team.
Meets the performance goals established for the position in the areas of efficiency, accuracy, quality, patient and client satisfaction and attendance.
Other duties and tasks as required/cross functional training.
Required Qualifications
High School Diploma; GED or equivalent work experience.
1+ years of customer service experience in customer services, phone support role, or medical billing office.
1+ years of Billing Knowledge, Billing Data Entry, Strong Customer Service Skills, and Insurance Payor Knowledge
Demonstrated ability in using computer and Windows PC applications, which includes strong keyboard and navigation skills and learning new computer programs.
Consistent attendance with ability to meet work schedule including the required training period.
Successful completion of the new hire training and demonstrated proficiency required.
Preferred Qualifications
Some college preferred.
Previous medical terminology experience.
May be a certified medical coder or involved with medical coding.
Understands multiple billing requirements across varies payers and states.
Prior experience in a call center setting
Soft Skills
Ability to resolve calls, avoiding escalated complaints.
Ability to exhibit empathy and be courteous to callers.
Ability to triage and handle escalated situations.
Ability to work in a fast-paced environment.
Ability to adapt to changes.
Ability to develop and maintain client relationships.
Ability to have Excellent communication skills, both verbal and written.
Ability to multi-task.