Customer Service Representative

Hours of Work :

8:30a-5p

Days Of Week :

M-F

Work Shift :

8X5 Day (United States of America)

Job Description :

Your Job:

Working with one or more account receivables management system modules including but not limited to billing, claim corrections, reconciliation, payment posting, refunds/credit balances, customer service, and follow-up in accordance with the departmental protocol with an emphasis on maximizing customer satisfaction and profitability. Also depending upon assigned role you may be responsible for reviewing claim information to ensure accuracy and provide feedback to the clinical and non-clinical areas regarding claim errors and/or denials, and for providing cross coverage for areas not primarily assigned as required to ensure efficient and professional operations and maximum patient satisfaction.

Your Job Requirements:

• High school Diploma or Equivalent required

• Customer Service Representative for call center, assisting patients with billing questions in the centralized billing office for the health system. Secondary duties to be performed in between phone calls. EPIC experience highly preferred. Bilingual (Spanish) preferred.

Your Job Responsibilities

• Proficiency with one or more assigned receivables' management system modules including but not limited to patient registration, charge entry, coding, claims processing, collections, reports, and patient information inquiry.

• Works all cases assigned to a Work Queue at the time of entry to ensure corrections and provide feedback to other areas and to ensure timely reimbursement.

• Provide customer service on the telephone and in the office for all patients and authorized representatives regarding patient accounts in accordance with office protocol. Customer calls regarding accounts receivable should be returned within 2 business days to ensure maximum patient satisfaction.

• Follows-up on all assigned returned claims, correspondence, denials, account reconciliations and rebills within five working days of receipt to achieve maximum reimbursement in a timely manner with an emphasis on patient satisfaction.

• Provides feedback to Management regarding claims issues of incorrect and/or missing information, which includes failure to get authorization at registration.

• Review and resolution of all assigned payer correspondence.

• Health care terminology surrounding medical diagnostic and procedural coding.

• Experience with contract language preferred.

• High-quality math skills necessary.

• Ability to identify trends and variances.

• Microsoft Office software experience required.

• Other duties as assigned

Methodist Health System is a faith-based organization with a mission to improve and save lives through compassionate, quality healthcare. For nearly a century, Dallas-based Methodist Health System has been a trusted choice for health and wellness. Named one of the fastest-growing health systems in America by Modern Healthcare, Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. Methodist has more than two dozen clinics located throughout the region, renowned teaching programs, innovative research, and a strong commitment to the community. Our reputation as an award-winning employer shows in the distinctions we've earned:

• Magnet designations for Methodist Dallas, Methodist Charlton, Methodist Mansfield, and Methodist Richardson Medical Centers
• 150 Top Places to Work in Healthcare by Becker's Hospital Review, 2023
• Top 10 Military Friendly Employer, Gold Designation, 2023
• Top 10 Military Spouse Friendly Employer, 2023