What are the responsibilities and job description for the Patient Accounts Customer Service Rep position at CAMC Health System?
Job Summary
Responsible for the effective follow-up and collection of high dollar, delinquent, and problem account receivable claims by resolving patient inquiries in a timely and effective manner.
Responsibilities
• Follow up on accounts having received one or more unanswered statements.
• Obtain necessary information from guarantor/insurance company to obtain reimbursement.
• Research accounts to obtain resolution, and do so with minimal support from Customer Service Team Lead or Supervisor, while serving as a resource to other PA Customer Service Representatives.
• Review accounts to determine if they meet charity guidelines.
• Receive incoming calls and mail that are within the assigned area of responsibility.
• Make adjustments on accounts as needed, as well as move transactions that may be posted in error.
• Cerner SME duties as needed.
• Assist with training of new PA Customer Service Representatives.
Knowledge, Skills & Abilities
Patient Group Knowledge (Only applies to positions with direct patient contact)
The employee must possess/obtain (by the end of the orientation period) and demonstrate the knowledge and skills necessary to provide developmentally appropriate assessment, treatment or care as defined by the department's identified patient ages. Specifically the employee must be able to demonstrate competency in: 1) ability to obtain and interpret information in terms of patient needs; 2) knowledge of growth and development; and 3) understanding of the range of treatment needed by the patients.
Competency Statement
Must demonstrate competency through an initial orientation and ongoing competency validation to independently perform tasks and additional duties as specified in the job description and the unit/department specific competency checklist.
Common Duties and Responsibilities
(Essential duties common to all positions)
1. Maintain and document all applicable required education.
2. Demonstrate positive customer service and co-worker relations.
3. Comply with the company's attendance policy.
4. Participate in the continuous, quality improvement activities of the department and institution.
5. Perform work in a cost effective manner.
6. Perform work in accordance with all departmental pay practices and scheduling policies, including but not limited to, overtime, various shift work, and on-call situations.
7. Perform work in alignment with the overall mission and strategic plan of the organization.
8. Follow organizational and departmental policies and procedures, as applicable.
9. Perform related duties as assigned.
Education
• High School Diploma or GED (Required) Experience: None
Credentials
• No Certification, Competency or License Required
Work Schedule: Days
Status: Full Time Regular 1.0
Location: General Hospital
Location of Job: US:WV:Charleston
Talent Acquisition Specialist: Lisa J. Craft lisa.craft@vandaliahealth.org
Responsible for the effective follow-up and collection of high dollar, delinquent, and problem account receivable claims by resolving patient inquiries in a timely and effective manner.
Responsibilities
• Follow up on accounts having received one or more unanswered statements.
• Obtain necessary information from guarantor/insurance company to obtain reimbursement.
• Research accounts to obtain resolution, and do so with minimal support from Customer Service Team Lead or Supervisor, while serving as a resource to other PA Customer Service Representatives.
• Review accounts to determine if they meet charity guidelines.
• Receive incoming calls and mail that are within the assigned area of responsibility.
• Make adjustments on accounts as needed, as well as move transactions that may be posted in error.
• Cerner SME duties as needed.
• Assist with training of new PA Customer Service Representatives.
Knowledge, Skills & Abilities
Patient Group Knowledge (Only applies to positions with direct patient contact)
The employee must possess/obtain (by the end of the orientation period) and demonstrate the knowledge and skills necessary to provide developmentally appropriate assessment, treatment or care as defined by the department's identified patient ages. Specifically the employee must be able to demonstrate competency in: 1) ability to obtain and interpret information in terms of patient needs; 2) knowledge of growth and development; and 3) understanding of the range of treatment needed by the patients.
Competency Statement
Must demonstrate competency through an initial orientation and ongoing competency validation to independently perform tasks and additional duties as specified in the job description and the unit/department specific competency checklist.
Common Duties and Responsibilities
(Essential duties common to all positions)
1. Maintain and document all applicable required education.
2. Demonstrate positive customer service and co-worker relations.
3. Comply with the company's attendance policy.
4. Participate in the continuous, quality improvement activities of the department and institution.
5. Perform work in a cost effective manner.
6. Perform work in accordance with all departmental pay practices and scheduling policies, including but not limited to, overtime, various shift work, and on-call situations.
7. Perform work in alignment with the overall mission and strategic plan of the organization.
8. Follow organizational and departmental policies and procedures, as applicable.
9. Perform related duties as assigned.
Education
• High School Diploma or GED (Required) Experience: None
Credentials
• No Certification, Competency or License Required
Work Schedule: Days
Status: Full Time Regular 1.0
Location: General Hospital
Location of Job: US:WV:Charleston
Talent Acquisition Specialist: Lisa J. Craft lisa.craft@vandaliahealth.org