Customer Service Representative Job at Methodist Health System
Hours of Work :
8:30a-5p
Days Of Week :
M-F
Work Shift :
8X5 Day (United States of America)
Job Description :
Your Job:
Working with one or more account receivables management system modules including but not limited to billing, claim corrections, reconciliation, payment posting, refunds/credit balances, customer service, and follow-up in accordance with the departmental protocol with an emphasis on maximizing customer satisfaction and profitability. Also depending upon assigned role you may be responsible for reviewing claim information to ensure accuracy and provide feedback to the clinical and non-clinical areas regarding claim errors and/or denials, and for providing cross coverage for areas not primarily assigned as required to ensure efficient and professional operations and maximum patient satisfaction.
Your Job Requirements:
Your Job Responsibilities
Working with one or more account receivables management system modules including but not limited to billing, claim corrections, reconciliation, payment posting, refunds/credit balances, customer service, and follow-up in accordance with the departmental protocol with an emphasis on maximizing customer satisfaction and profitability. Also depending upon assigned role you may be responsible for reviewing claim information to ensure accuracy and provide feedback to the clinical and non-clinical areas regarding claim errors and/or denials, and for providing cross coverage for areas not primarily assigned as required to ensure efficient and professional operations and maximum patient satisfaction.
Your Job Requirements:
- High school Diploma or Equivalent required
Your Job Responsibilities
- EPIC experience highly preferred.
- Bilingual Spanish-fluent highly preferred.
- Proficiency with one or more assigned receivables' management system modules including but not limited to patient registration, charge entry, coding, claims processing, collections, reports, and patient information inquiry.
- Works all cases assigned to a Work Queue at the time of entry to ensure corrections and provide feedback to other areas and to ensure timely reimbursement.
- Provide customer service both on the telephone and in the office for all patients and authorized representatives regarding patient accounts in accordance with office protocol. Customer calls regarding accounts receivable should be returned within 2 business days to ensure maximum patient satisfaction.
- Follows-up on all assigned returned claims, correspondence, denials, account reconciliations and rebills within five working days of receipt to achieve maximum reimbursement in a timely manner with an emphasis on patient satisfaction.
- Provides feedback to Management regarding claims issues of incorrect and/or missing information, which includes failure to get authorization at registration.
- Review and resolution of all assigned payer correspondence.
- Health care terminology surrounding medical diagnostic and procedural coding.
- Experience with contract language preferred.
- High-quality math skills preferred.
- Microsoft Office software experience required.
- Other duties as assigned.
Methodist Health System is a highly revered, leading nonprofit healthcare organization in Dallas, Texas. Named one of the fastest-growing health systems in America by
Modern Healthcare, Methodist includes 13 hospitals, either through ownership or affiliation. Our wholly owned and full-service hospitals include Methodist Dallas, Methodist Charlton, Methodist Mansfield, Methodist Midlothian, and Methodist Richardson Medical Centers; Methodist Richardson – Campus for Continuing Care; and, our newest, Methodist Southlake Medical Center. Our affiliated physician organization is Methodist Medical Group, which includes more than 50 healthcare clinics, two concierge medicine clinics, an urgent care clinic, and a virtual care platform known as MethodistNOW. At Methodist, we strive to have a diverse workforce that reflects the communities we serve — one that is welcoming of the skills and talents of all groups. Our reputation as an award-winning employer shows in the honors we’ve earned:
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Magnet® designations for Methodist Dallas, Methodist Charlton, Methodist Mansfield, and Methodist Richardson
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150 Great Places to Work in Healthcare nine years in a row by Becker’s Hospital Review
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Military Friendly® Employer, Silver Designation
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One of three Top Healthcare Diversity Organizations in the U.S., 2019
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Ranked No. 2 on DiversityInc’s List of Top Hospitals and Health Systems in America, 2018
Our Care Commitments
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Take Care of Patients
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Take Care of Each Other
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Take Care of Ourselves
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Take Care of Methodist
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