Customer Service Rep

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Requirements:

• Knowledge of medical billing processes, insurance claim submission, and reimbursement principles.
• Familiarity with insurance plans, government programs, and their billing requirements.
• Excellent communication skills, both written and verbal, to interact effectively with patients, insurance companies, and colleagues.
• Strong negotiation and problem-solving skills to resolve billing disputes and collect outstanding balances.
• Attention to detail and accuracy in recording collection activities and maintaining documentation.

Responsibilities:

• Monitor and manage the accounts receivable of the hospital by reviewing and following up on outstanding balances.
• Communicate with insurance companies, patients, and other relevant parties to resolve billing issues and outstanding claims.
• Contact patients and insurance companies via phone calls, emails, or written correspondence to collect outstanding balances.
• Investigate and resolve billing disputes or discrepancies by gathering necessary documentation, coordinating with the billing department, and communicating with patients or their representatives.
• Verify insurance coverage and eligibility for patients, ensuring accurate billing and claim submission.
• Assist patients in understanding their medical bills, insurance coverage, and payment options.
• Maintain accurate and up-to-date records of collections activities, payment arrangements, and communication with patients and insurance companies.