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Patient Accounts Correspondence Rep in Los Angeles, CA at TeamHealth

Date Posted: 9/20/2018

Job Snapshot

Job Description

Join a team of dynamic, results oriented professionals!

Named among “The World’s Most Admired Companies" by Fortune Magazine
Named among "America's 100 Most Trustworthy Companies" by Forbes magazine
Named among “Great Places to Work" by Becker’s Hospital Review

  • Career Growth Opportunities
  • Convenience market on site
  • Benefit Eligibility (Medical/Dental/Vision/Life) the first of the month following 30 days of employment
  • 401K program (Discretionary matching funds available)
  • Employee Assistance Program
  • Referral Program
  • Dental plans & Vision plans
  • GENEROUS Personal time off
  • Eight Paid Holidays per year
  • Quarterly incentive plans
  • Business casual dress code
  • Free Parking
  • Free coffee daily
  • Employee of the month awards with monetary gift and parking space
  • Training Programs
  • Fitness Center with personal trainer on site
  • Awesome Facility with terrific amenities
  • Wellness programs
  • Flexible work schedule

JOB DESCRIPTION OVERVIEW:

The Customer Service Representative in the Patient Accounts Department is responsible for managing accounts that the patients are responsible for paying. The Customer Service Rep. determines the best solution for receipt of payment for accounts that are the patient’s responsibility. The Customer Service Rep. handles various types of correspondence and customer phone calls. The position works in a cooperative team environment to provide value to customers (internal and external). The Customer Service Representative carries out his/her duties by adhering to the highest standards of ethical and moral conduct, acts in the best interest of TeamHealth and fully supports TeamHealth’s focus on supporting its physicians while following the Billing Center policies and procedures.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Responsible for researching the best method for receipt of patient payments.
  • Handles various types of correspondence including but not limited to: insurance updates, attorney letters, charity applications, disputes, bankruptcy, and death certificates.
  • Responsible for answering a variety of customer phone calls while providing excellent customer service and handling inquiring in a timely and professional manner.
  • Responsible for resolving patient inquiries/disputes and identifying patient grievances and escalating appropriately.
  • Responsible for making patient, facility, and payer phone calls.
  • Responsible for verifying insurance eligibility.
  • Responsible for all daily productivity reporting requirements.
  • Maintains and exceeds department standards for productivity and quality.
  • Ensures compliance with state and federal laws and regulations for Commercial, Medicare, Medicaid, Managed Care and other payers.
  • Maintains and exceeds department standards for productivity and quality including adhering to all department and company policies and procedures.
  • Ensures compliance with state and federal laws and regulations for Commercial, Medicare, Medicaid, Managed Care and other payers.
  • Continually seeks to understand and act upon employer and customer needs, concerns, and priorities. Meets employer expectations and requirements, and gains customer trust and respect.
  • Functions effectively within a team and participates and contributes constructively to produce results in a cooperative effort.
  • Demonstrates ongoing enthusiasm and commitment to the work assigned.
  • Works with others to receive feedback on performance and create a personal developmental plan.
  • Participates in a process to continually improve organizational effectiveness using self-assessment performance evaluation criteria. 
     
     

 

Job Requirements

QUALIFICATIONS / EXPERIENCE:

  • Normally, the knowledge, skills and abilities necessary for adequate job performance can be obtained through approximately one+ years customer service experience and insurance denial and correspondence processes within a multi-facility environment.
  • In addition, working knowledge of insurance processes, denials, and insurance eligibility requirements.
  • In addition, working knowledge of insurance processes, denials, and insurance eligibility requirements.
  • Also, demonstrated success working in a team environment focused on meeting organization goals and objectives is necessary.
  • Experience with providing visible participation and support of major change initiatives preferred.
  • Some college coursework in business administration or accounting preferred.
  • Knowledge of basic math and the ability to perform math functions in units of American currency.
  • Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form.
  • Ability to review documents for accuracy and reasonability.
  • Ability to work well under pressure.
  • Tact and patience when dealing with individuals at all levels, both within and outside the company.
  • Commitment to TeamHealth values.
  • Ability to communicate effectively orally, in person and on the telephone, and in writing, with individuals at all levels, both within and outside the company.
  • Knowledge of coordination of benefits requirements and processes.
  • Knowledge of health insurance correspondence denial processing.
  • Knowledge of insurance rejection/denial processing to perform follow up activity.
  • Ability to multi-task, set priorities and follow through without direct supervision.
  • Ability to type efficiently and accurately.
  • Ability to operate a computer (i.e., Microsoft Office and internet) efficiently and accurately.
  • Ability to operate various office machines (i.e., fax, copier).
  • Ability to work well in a team environment and be flexible in problem solving environment.

PHYSICAL / ENVIRONMENTAL DEMANDS:

  • Have good attendance.
  • Work at a desk, utilizing a computer.
  • Communicate by telephone.
  • Operate a PC and other office equipment (copier, fax, etc.).
  • Move freely between offices
  • The work environment corresponds to the average office environment.

DISCLAIMER:

Cooperative, positive, courteous and professional behavior and conduct is an essential function of every position. All employees must be able to work with others beyond giving and receiving instructions. This includes getting along with co-workers, peers and management without exhibiting behavior extremes. Job functions may require personal leadership skills such as conflict resolution, negotiating, instructing, persuading, speaking with others as well as responding appropriately to job performance feedback from the supervisor. Additionally, the information contained in this job description has been designated to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this position.

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