Community Health System Antioch , TN 37011
Posted 2 weeks ago
Job Description
ESSENTIAL DUTIES AND RESPONSIBILITIES
Answer in-bound calls from patients, insurance companies and attorneys.
Make out-bound Early Out Self-Pay calls, to collect on patient balances.
Perform insurance follow up to address customer concerns.
Research customer billing concerns per payer and create appropriate adjustment as needed.
Ensure created adjustments receive proper approval and sign off.
Address coordination of benefits issues with patient.
Escalate coding issues to the proper facility liaison.
Forward all patient and payer refund correspondence to the Overpayment Resolution team
Performs other duties as directed by the Manager and Director.
QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the education, experience, knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
REQUIRED
High School Graduate minimum education requirement
Knowledge of medical revenue cycle processes from scheduling through agency placement and final account disposition.
Knowledge of insurance collections follow up.
Effective and professional telephone and customer correspondence communication skills.
Must be able to work independently in a manner to achieve goals, objectives and productivity requirements.
Must be able to be flexible and organized while functioning well under stressful conditions
PREFERRED
One year customer service experience, preferably in a hospital or call center environment
Knowledge of medical terminology
Bi-lingual
Knowledgeable of EOB, Remits, and UB-04s
Reasoning Ability:
Ability to define problems collects data, validate data, establish facts, and draw valid conclusions
Computer Skills:
Community Health System