Customer Service Rep - Medical Billing/patient Accounts

Customer Service Representative

The Customer Service Representative responds to inquiries by answering all incoming telephone calls promptly and courteously, ensuring customers’ requests are assessed and handled to effectively maintain the maximum collection functions and ensuring that all policies, regulations, and procedures are followed. Working under general supervision, this position is accountable for arranging timely payments by patients after or in lieu of insurance in order to reduce outstanding balances and facilitate reimbursement.

Strongly preferred experience: medical billing, patient accounts follow-up, EPIC.

Answers calls from patients promptly to address account issues and provides accurate information for account status, payments, denials, reimbursements, and patient residuals, to facilitate proper account management. Makes dedicated payment collection efforts during patient phone interactions to ensure timely revenue generation. Documents interactions to support accurate record-keeping and efficient communication within the revenue cycle and ensures accuracy of patient demographic and billing details, making necessary insurance carrier corrections, contributing to precise patient records and billing efficiency. Explains credit and collections information to parties involved and recommends suitable payment options based on circumstances to enhance understanding and compliance. Adheres to corporate compliance rules, including Health Insurance Portability and Accountability Act (HIPAA) regulations, during interactions to uphold patient privacy and legal standards. Maintains acceptable quality and production levels and notifies the manager of potential issues to prevent payment delays or increased denials. Performs other duties as assigned.

Required: High School Diploma or equivalent.

Required: 1 year.

Equal Opportunity Employer At Cone Health, we strive to create a welcoming atmosphere that celebrates a diverse and unique workforce. We believe in offering equal opportunities for employment to all applicants and employees, regardless of their race, religion, age, sex, sexual orientation, gender identity, veteran's status, ethnicity, national origin, disability, color, or any other characteristic protected by law. Our hiring and employment choices are based on each individual's qualifications, skills, and performance. We believe that by embracing the diversity of our team, we can better serve our patients, communities, and each other.