Medical Customer Service Rep

Medical Customer Service Rep

This position contributes to the mission of CHI Health by ensuring medical and pharmacy benefits are accurately provided and billed as well as management of patient and physician accounts receivable. This position works collaboratively with purchasing, patient care, ancillary and pharmacy services to ensure appropriate and timely notices to patients.

Essential Key Job Responsibilities:

• Communicate and discuss medical supplies/equipment needs with patients.
• Answer any medical billing questions for patients.
• Research insurance eligibility and coverage/benefits on patients and complete any necessary paperwork and/or submit clinical notes in a timely manner to ensure approval of claims.
• Maneuver billing software to make updates to patient, insurance and inventory records.
• Keep adequate records while adhering to HIPAA guidelines and regulations.
• Professionally communicate with other members of CHI team as well as with internal and external providers.
• Identify claims that have not been processed by either insurance or patient. After claim is identified take the next step in payment collection process.
• Other duties as assigned by management.

Qualifications:

Required Minimum Knowledge, Skills and Abilities:

Ability to utilize computer processing in day to day activities; strong knowledge of applicable laws, regulations, guidelines and professional standards; good communication skills; strong teamwork skills; must demonstrate personal traits of a high level of motivation; professionalism; trust; and place a high value on treating others with dignity and respect. Proficient in Microsoft Office programs (Excel, Word, Outlook, etc). Knowledge of HCPC, ICD-10, HCFA a plus. Ability to perform non-complex mathematical calculations a must.

Preferred Qualifications:

High school diploma or GED. A minimum of two years medical supplies and/or billing experience is desirable. Understanding of medical terminology and disease processes are preferred.

CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S., from clinics and hospitals to home-based care and virtual care services, CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources, CommonSpirit is committed to building healthy communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen, both inside our hospitals and out in the community.

Unless directed by a Collective Bargaining Agreement, applications for this position will be considered on a rolling basis. CommonSpirit Health cannot anticipate the date by which a successful candidate may be identified.

CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off, tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time.