Customer Service- Insurance Billing/Self Pay
Core
Primary point of contact for patients regarding self-pay and out-of-pocket medical balances, resolving financial accounts using approved guidelines.
Role type
Customer Service Representative (Insurance Billing/Self-Pay)
Builds
Resolved patient financial accounts
Domain
Healthcare / Insurance Billing
Deliverable
client delivery
Required skills
Understanding of payer contracts, rules, and regulations; Insurance eligibility requirements knowledge; Insurance billing priority knowledge; Claim denial/rejection/underpayment review; HIPAA and PCI Compliance regulations application; PII/PHI Security adherence; Microsoft Office proficiency; High typing speed (60 wpm)
Preferred skills
Hospital or Healthcare (US) knowledge/experience; Contact or Call Center experience; SMS Invision, I-series, Meditech, Epic experience
Responsibilities
Review claim denials, rejections, and underpayments; Communicate issues and offer suggestions to Management for process improvements; Resolve financial accounts for patients
Seniority
Mid-level, hands-on IC