What are the responsibilities and job description for the Customer Service Representative position at Stormont Vail Health?
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Join Stormont Vail Health’s team of dedicated professionals! We offer a competitive compensation package and a supportive culture. The best place to train, work, and grow.
Starting pay is determined by level of experience.
Benefits: Medical, Dental, Vision, Life, PTO, Long-Term/Short-Term Disability, 403B Match, Career Advancement/Education Assistance Program, PSLF Student Loan Forgiveness eligible employer and Employee Assistance Program.
Position Status: Full time | 40 hours per week | Non-exempt
A Brief Overview
Under direction, responsible for professionally interacting with customers including patients, physicians and other staff members to thoroughly and promptly research and resolve all inquiries and customer service problems. In addition, assists with other duties as assigned.
Education Qualifications
- High School Diploma / GED Required
- Associate's Degree Preferred
Experience Qualifications
- 3 years Experience in healthcare financial services, healthcare registration services or related healthcare experience. Required
What You Will Do
- Understands technical primary and secondary billing requirements for third party payors and contracts. Understands the Medical and Clinical services provided by the organization.
- Negotiates financial resolution through proper sequencing of resolution options and the patient’s ability/willingness to pay. Researches and resolves account balance discrepancies.
- Appropriately identifies and completes charity screening process in a timely manner.
- Answers questions from other staff or clinic offices by phone or e-mail in a timely manner.
- Consistently and accurately documents accounts with activities as needed in a timely manner. Verifies accuracy of patient demographic and insurance information with patient or family members, documents and distributes to appropriate staff.
- Promptly follows up with appropriate parties to effectively resolve customer questions and problems.
- Thoroughly and promptly researches customer inquiries for proper resolution. Researches and resolves account balance discrepancies.
- Determines correct contractual allowances.
- Accurately calculates and communicates patient and insurance liabilities for all payer types.
- Assists with the revision or development of the department's internal documents, procedural manuals and forms, as requested.
- Informs management of any known or suspected violations by other employees or suppliers.
- Identifies and notifies management of customer service issues and potential process/system problems that cause billing and payment errors and assists in improvement implementation as requested.
- Attends and participates at departmental team meetings, work-groups and other organizational educational programs.
- Ensures necessary data, identified processing issues and related information is provided to departmental management, appropriate departments and individuals within the organization in a timely manner.
Patient Facing Options: Position is Not Patient Facing
Remote Work Guidelines
- Workspace is a quiet and distraction-free allowing the ability to comply with all security and privacy standards.
- Stable access to electricity and a minimum of 25mb upload and internet speed.
- Dedicate full attention to the job duties and communication with others during working hours.
- Adhere to break and attendance schedules agreed upon with supervisor.
- Abide by Stormont Vail’s Remote Worker Policy and will review and acknowledge the Remote Work Agreement annually.
Remote Work Capability: Hybrid
Scope
- No Supervisory Responsibility
- No Budget Responsibility
Stormont Vail is an equal opportunity employer and adheres to the philosophy and practice of providing equal opportunities for all employees and prospective employees, without regard to the following classifications: race, color, ethnicity, sex, sexual orientation, gender identity and expression, religion, national origin, citizenship, age, marital status, uniformed service, disability or genetic information. This applies to all aspects of employment practices including hiring, firing, pay, benefits, promotions, lateral movements, job training, and any other terms or conditions of employment.
Retaliation is prohibited against any person who files a claim of discrimination, participates in a discrimination investigation, or otherwise opposes an unlawful employment act based upon the above classifications.
Work Location: In person