Customer Service / Call Center Associate

Employer
Alltran
Location
Gaithersburg, MD
Posted
Aug 06, 2018
Closes
Aug 20, 2018
Function
Customer Service
Industry
Other
Hours
Full Time
Customer Service Specialist ABOUT US The Alltran Health's Extended Business Office is a patient-centric, customizable revenue cycle management solution that meets the needs of our client's specific demographic, dedicated to our client's financial services policies which may include the following: Pre-service coverage and cleanupCustom cleanup projects and consulting servicesMedicaid eligibility and Self Pay collection servicesBenefit determinationManaged care enrollmentPatient statement productionCustomized business intelligence reportsSUMMARY Alltran has an opening for a Customer Service Specialist in our Health Services business unit. Working under general supervision this position provides revenue cycle services to existing clients by telephone. Responsible for gathering patient information needed to provide services such as, customer service, insurance resolution, and self-pay balance resolution. Work will be assigned in the client's record keeping system as well as Alltran's inventory management system. RESPONSIBILITIES Reduce outstanding accounts receivable by managing self-pay inventoryAnalyzes accounts for proper billing procedures and takes necessary action to rebill/resolve as necessary.Determines whether patient or insurance should be contacted for payment by reviewing account history and notes on Alltran's inventory management system as well as the client system.Contacts the patient by telephone via the predictive dialing system or off system to help patients/customers with current balances on their account and to follow through with the payments until the account is paid in full. Utilizes tools, including computer programs, when indicatedProvides excellent customer service and timely response to questions and issues related to benefits, billing, claims, payments, etc.Reviews and analyzes insurance Explanation of Benefits to determine patient responsibility, adjustments and write-offs and handles each situation accordingly.Recognizes billing issues (pre-certs/no-auths/timely filing/urgent requests) specific to the client and understands the necessary process for resolving them.Inputs, retrieves, and modifies information and data stored in computerized systems and programs; generates reports using computer softwareExplains charges, answers questions, and communicates a variety of requirements, policies, and procedures regarding patient financial care services and resources to patients, staff, payors, and agenciesOther duties as assignedHealth Benefits Cafeteria-style medical plan with HRAEmployee assistance programFinancial benefits Life insuranceProfit sharing401(k) planLifestyle benefits Paid time offPaid holidaysCorporate discountsCommunity service opportunities.QUALIFICATIONS Minimum Qualifications: 2 years clerical experience in health care revenue cycle operations: billing/claims, patient accounting, collections, admissions, registration, etc. -OR- An approved equivalent combination of education and experiencePreferred Qualifications: Demonstrated organizational skills and the ability to prioritize and manage tasks based on established criteriaExcellent verbal and written communication and interpersonal skillsAbility to work independently with minimal supervision, within a team setting and be supportive of team membersProficient with Microsoft OfficeAbility to analyze issues and make judgments about appropriate steps toward solutionsCRCR (Credentialed Revenue Cycle Representative) preferredKnowledge/ Skills/ Abilities: Self-motivatedCreative and likes the challenge to solve a situation and bring it to resolution.Goal orientedKnowledge of patient billing claims processAbility to communicate with patients and families under sometimes stressful circumstancesStrong and professional telephone communication skillsExperience with electronic health record or similar software programKnowledge of payor programsKnowledge of applicable federal and state regulationsMinimum Qualifications:2 years clerical experience in health care revenue cycle operations: billing/claims, patient accounting, collections, admissions, registration, etc.*OR-An approved equivalent combination of education and experiencePreferred Qualifications:Demonstrated organizational skills and the ability to prioritize and manage tasks based on established criteriaExcellent verbal and written communication and interpersonal skillsAbility to work independently with minimal supervision, within a team setting and be supportive of team membersProficient with Microsoft OfficeAbility to analyze issues and make judgments about appropriate steps toward solutionsCRCR (Credentialed Revenue Cycle Representative) preferredKnowledge/ Skills/ Abilities:Self-motivatedCreative and likes the challenge to solve a situation and bring it to resolution.Goal orientedKnowledge of patient billing claims processAbility to communicate with patients and families under sometimes stressful circumstancesStrong and professional telephone communication skillsExperience with electronic health record or similar software programKnowledge of payor programsKnowledge of applicable federal and state regulations

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