Customer Service SBO Rep

Purpose of Position

To perform accurate and timely follow up of account inquiries and refunds for Single Business Office ( SBO ) for Patient Hospital Billing (HB) and Physician Billing (PB) and to support revenue cycle department.

Description

1. Field and respond to account inquiries in a professional, courteous, timely, efficient and knowledgeable fashion utilizing online technology and other communication methods.

2. Complete documentation of accounts and escalate complaints and / or inquires throughout the revenue cycle process as appropriate.

3. Collaborates with self-pay billing vendor representatives and CCHC staff to resolve complex insurance and patient billing disputes.

4. Review and expedite urgent patient refund requests.

5. Provide billing copies and other related documentation upon request to patients, authorized third parties and departments in accordance with credit and collection policy.

6. Establish financial arrangement of post-billed receivables.

7. Pursue other insurance information through eligibility verification and check claims status through online access and individual insurance carriers access points.

8. Calculate patient liability and perform system adjustments to support accurate patient statement billing as assigned.

9. Maintain reports and filing activities as assigned to support Patient Financial Services activities.

10. Respond to patient and / or insurer inquiries by phone, email, mail, or in-person in a professional, timely, efficient and knowledgeable fashion, ensuring HIPAA and CCHC guidelines are followed.

11. Create and maintain logs and reports as assigned to support Patient Financial Services activities.

12. Perform related clerical activities including but not limited to, photocopying, scanning, filing, calculating, faxing, mail sorting and distribution, etc.

13. Comply with departmental and organizational policies including but not limited to dress code, use of supplies, telephones and computers.

14. Adhere to work schedules and maintain a safe and orderly work area at all times, maintaining awareness of and compliance with safety policies and procedures.

15. Attend and participate in educational programs, in-service meetings, workshops, and other activities as related to job performance and job knowledge.

16. Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers.

17. Perform other job-related duties and assignments as requested.

Qualifications

• Ability to read, write and communicate in English.
• 6 months experience working with an EMR or financial information system on a daily basis within the past three (3) years.
• PC skills, including Microsoft Excel, Word, and Outlook, with a minimum of 6 months experience working with Meditech, Soarian, Epic or similar information system on a daily basis.
• Familiar with web-based applications or insurance carrier websites and web-based chats.
30+ days ago