Customer Care Specialist - MedStar Unified Revenue Cycle Organization
Core
Primary point of contact for patients and guarantors to resolve inquiries regarding medical billing, insurance, payments, and healthcare services.
Role type
Customer Care Specialist (Healthcare Billing)
Builds
Patient account resolutions and accurate claim processing
Domain
Healthcare / Medical Billing
Deliverable
client delivery
Required skills
Medical billing knowledge, Patient account management, Insurance claim processing, Payment plan negotiation, Billing system proficiency, Regulatory compliance
Preferred skills
Associate or bachelor's degree, Healthcare billing experience, Managed care contract knowledge
Responsibilities
Respond to patient and guarantor inquiries via telephone, mail, fax, and email regarding billing and insurance. Act as the single point of contact to research and coordinate cases with internal and external partners. Use billing systems and payment portals to investigate account concerns and explain charges. Review and correct registration, insurance, and financial classification information. Document interactions and maintain account records. Apply managed care contract provisions and payer requirements. Advocate for patients by educating them and proposing payment plans. Meet performance standards for call volume and case resolution.
Seniority
Mid-level, hands-on IC