Healthcare Customer Service Representative
Core
Handle inbound calls and inquiries regarding patient billing, payments, disputes, and financial assistance within a hospital setting.
Role type
Customer Service Specialist (Billing & Collections)
Builds
Patient payment plans, financial assistance cases, and resolved billing disputes
Domain
Healthcare / Medical Billing
Deliverable
client delivery
Required skills
Insurance billing procedures, claim forms (UB04, HCFA 1500), payer regulations (Medicare, Medicaid, HMO, PPO), HIPAA compliance, database navigation (Epic, DataArk, Availity), financial assistance screening, customer dispute resolution
Preferred skills
Epic system proficiency, Spanish language, CPT/ICD/DRG code understanding
Technologies
Epic, DataArk, Availity, Medicare Connex, Microsoft Office
Responsibilities
Answer patient inquiries about balances and statements, negotiate payment plans, screen for Medicaid/charity care, update patient demographics, resolve billing disputes and coding issues, process claim resubmissions, manage accounts subject to bankruptcy or legal action
Seniority
Individual Contributor, Entry to Mid-level