Customer Service I/Collections Representative I (Kearny Mesa)
Long Term Temp (> 30 Days)
A large healthcare organization in San Diego seeks Customer Service I/Collections Representative I. This position is responsible for administering the Collection Philosophy for all self pay accounts. The Customer Service Specialist I will identify accounts with a self pay balance after insurance has paid and those without insurance and will collect on those accounts. The incumbent will assist the families with financial assistance applications. The incumbent will work with families to establish payment plans in accordance with hospital policy and monitor the payment plans for compliance. The Customer Service Specialist I will receive incoming telephone calls and assist families with information pertaining to their accounts, understanding statements, and previous insurance payments. Incumbent will check Medi-Cal eligibility, apply share of costs, and update accounts with insurance information. The Customer Service Specialists will receive patient complaints in regards to billing and take appropriate action, based upon policy and procedures.
Receives incoming telephone calls from patients, payors, healthcare providers, and outside agencies regarding patient accounts.
Assists the callers with needed information.
Assists patient families with understanding the statements and how insurance had processed their claims.
Must have strong communication skills.
Responsible for administering the Collection Philosophy for all account with a self-pay balance.
Works with families to establish payment plans.
Assists families with Charity Care applications.
Accepts payments via phone or in person and applies to accounts.
Processes credit card payments appropriately.
Ability to perform complicated mathematical calculations and applies adjustments appropriately. Provides excellent Customer Service.
Verbal and written communication is done in a professional manner with respect for the individual, compassion, and fair administration of collection policy and procedures.
Documentation of call interactions is clear, detailed, and in compliance with department policies and procedures.
Analyzes accounts to determine correct patient portion due, payor adjustments, copays, coinsurance, and deductibles.
Processes self pay credit balances in accordance with policy and procedures.
Receives and processes patient complaints in accordance with established policy and procedures.
H.S. Diploma,GED,or Equivalent
2 Years of Experience in Medical Customer Service or Collections
3 Years of Experience in Medical Customer Service or Collections
On Call Staffing Solutions, Inc. is an Equal Opportunity Employer – Minority/Female/Disability/Veterans