Customer Service Account Representative

Default Work Shift:
Day (United States of America)
Hours:
40
Salary range:
$19.28 - $28.54
Schedule:
Full Time
Shift Hours:
8 Hour employee
Department:
Patient Financial Services
Job Objective:
Engaged in activities relating to the collection of payment and/or resolution of self-pay balance accounts.
Job Description:
Education:
Required: High school diploma, GED or higher level degree
Licensure/Certification:
N/A
Experience:
Preferred: Experience in a hospital and/or clinic setting; self-pay or insurance billing/collection experience or billing certification or course work
Reports To: Manager-Patient Financial Services
Supervises: N/A
Ages of Patients: N/A
Blood Borne Pathogens: Minimal/ No Potential
Skills, Knowledge, Abilities:
Ability to analyze data, read and interpret financial reports, Able to develop and maintain interdepartmental relationships, Decision making skills, Knowledge of all phases of occupational therapy operations, Knowledge of regulations regarding various governing agencies (CAP, JCAHO, OSHA, CLIA), Understands financial and productivity standards to ensure sound fiscal management is consistent with the goals of EMC, Written and verbal communication skills
Essential Responsibilities
1. Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.
2. Manages new accounts, on a daily basis, by working within Receivables Workstation. Contacts patient and/or account guarantor to solicit payment on account.
3. Manages new credit balance accounts daily and prepares adjustments or refunds to zero the account balance.
4. Works all accounts listed in on the daily bad debt and bankruptcy list, on a daily basis to promote collection of accounts. This will include telephoning the payer or identifying the claim on the payers’ Internet location.
5. Manages entire account inventory on a timely basis to promote payment and resolution of all accounts prior to ninety days from date of billing.
6. Receives and reacts to incoming mail and telephone call from patients regarding assigned accounts.
7. Works with patients in regards to extended payment plans and/or financial assistance packages.
8. Records newly identified insurance plans and facilitate the account processing of new plan in accordance with pre-billing policies and procedures.
9. Records accurate and definitive notes in the electronic account file that depict the current status of account, issues with account and anticipated date of resolution.
10. Escalates account management to Customer Service Manager when extraordinary issues arise.
11. Obtains and records “Promise to Pay” amounts on a daily basis that are consistent with the cash collection goals of the department.
12. Performs other duties as assigned.