Customer Service Representative - Hospital Specialist

Training is On-site at McKay-Dee Hospital

Remote, UT

Shift Days: Monday

• Friday 9:30am

• 6pm

The Customer Service Representative Hospital Specialist will be responsible for accurate and timely patient registration utilizing medical systems. This position will be responsible for timely and accurately verifying patients demographics and insurance plans over the phone. This person will assign ICD-10 and CPT codes relative to patient registration. This person will utilize facility medical necessity tool to verify appropriate diagnosis and coverage criteria. This work will need to be performed according to established policies and procedures. The associate will provide exceptional customer service to physicians, patients, family members and all other medical professionals.

The successful candidate demonstrates a high level of customer service behavior and ability to problem-solve, is self-motivated and flexible

Responsibilities:

• Perform registration and basic insurance verification, ensuring collection of 7 critical data elements necessary for proper patient identification and billing.

• Identify and update patient demographic information on ADT system as defined by departmental policy and procedures.

• Interpret physician orders for appropriate testing or admission criteria.

• Coordinate patient admission needs and beds assignment to facilitate timely patient placement.

• identify non-participating Insurance or Out of Networks plans; takes necessary steps to inform patients and physicians regarding options, including but not limited to canceling appointment.

• Obtain Insurance Card copies or validate insurance information via electronic medical record, transfer information, or insurance eligibility tool.

• Provide courteous and accurate patient and hospital information with way finding instructions for patients, families, visitors, and ancillary areas.

• Prepare documents for imaging/scanning into electronic patient record.

• Explains processes and forms to patients prior to securing signatures and ensures that all documents are properly signed and witnessed as required.

• Assemble and disassemble patient charts or departmental documents according to department policy.

• Copying and or faxing documents to ancillary areas or physician offices.

• Maintain inventory control of forms and paper supplies needed in area.

• Assist with all possible account resolutions pertaining to patient balances.

• Perform all other duties and projects as assigned.

• Have financial conversations and collecting payments based off standard deposits.

Required Qualifications:

• High School diploma or GED

• Customer Service

• Computer savvy with experience navigating between multiple systems simultaneously

• Must have MS Office Experience and excellent typing skills Must have a high degree of customer service skills

Desired Qualifications:

• iCentra Registration Experience

• Experience working in a healthcare environment

• Completed a Medical Terminology class Certification in healthcare access preferred

At R1 RCM, we deliver innovative solutions by bringing together the best people and technologies that enable providers to simplify the healthcare experience. Our mission is to be the one trusted partner to manage revenue, so providers and patients can focus on what matters most. Our 22,000+ global associates are given valuable opportunities to contribute, innovate, and create meaningful work that makes an impact in the communities we serve around the world. Interested? Learn more, visit: r1rcm.com/careers

At R1, we are committed to promoting diversity, equity and inclusion. We are proud to be an equal opportunity employer. We do not discriminate on the basis of age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. We are committed to providing a workplace free of harassment.

If you need assistance or an accommodation to complete any part of the job application process, please contact us at 312-496-7709 or careers@r1rcm.com for assistance.

For this US-based position, the base pay range is $15.35 - $19.50 per hour . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.

The healthcare system is always evolving - and it's up to us to use our shared expertise to find new solutions that can keep up. On our growing team you'll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career.

Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team - including offering a competitive benefits package.

R1 RCM Inc. ("the Company") is dedicated to the fundamentals of equal employment opportunity. The Company's employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person's age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.

If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.

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To learn more, visit: R1RCM.com

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