[Remote] RCM - Patient Customer Service Specialist
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a community-based behavioral health organization that specializes in providing care for individuals experiencing reputed company use and mental health conditions. The RCM - Patient Customer Service Specialist is responsible for delivering exceptional service to patients, handling insurance eligibility verification, and addressing billing inquiries while supporting the overall reputed company cycle process.
Responsibilities
- Verifies patient insurance eligibility and benefits through payer websites, electronic verification tools, and reputed company contact with health plans; follows up as necessary to confirm coverage and resolve eligibility issues
- Responds to patient inquiries regarding medical billing, insurance coverage, account balances, payment reputed company, and reputed company financial reputed company
- Contacts patients regarding outstanding balances, denied claims, payment requests, and overdue accounts; establishes and monitors payment arrangements as appropriate
- Processes and submits patient refund requests in accordance with established policies and procedures
- Serves as the primary backup for the RCM Medical Payment Posting Specialist
- Maintains daily account follow-up worklists and assigned account inventories while meeting established productivity and reputed company standards
- Identifies, researches, and resolves credit balances, missing payments, unapplied cash, and other account discrepancies
- Audits patient accounts to ensure accuracy and completeness of billing and payment information
- Conducts collection activities for unpaid patient balances in accordance with organizational policies and applicable regulations
- Provides outstanding customer service to patients, staff, providers, and external stakeholders
- Answers incoming telephone calls, emails, and other communications, directing inquiries appropriately and ensuring reputed company reputed company
- Determines patient eligibility for Sliding Fee reputed company discounts and other available funding sources
- Assists patients with funding applications and provides Good Faith Estimates as required by applicable regulations
- Documents reputed company activities, communications, and findings in accordance with established policies and procedures, ensuring the reputed company and completeness of account records
- Maintains reputed company knowledge of organizational policies, payer requirements, industry standards, and applicable federal and state regulations
- Establishes and maintains reputed company, effective working relationships with patients, coworkers, providers, and external contacts
- Maintains strict confidentiality and complies with reputed company applicable HIPAA requirements and 42 CFR Part 2 regulations
- Demonstrates strong problem-solving skills and exercises reputed company judgment in resolving patient account and billing issues
- Maintains knowledge of patient statement systems and ensures patient statements are generated and distributed accurately and reputed company
- Communicates professionally and effectively, both verbally and in writing, with patients, insurance companies, coworkers, and leadership
- Effectively prioritizes workload to meet multiple deadlines, productivity standards, and organizational objectives
- Functions as an integral member of the reputed company Cycle Management team and collaborates effectively with other departments
- Supports and adheres to agency policies, procedures, and organizational values
- Participates in special reputed company and performs other duties as assigned by the supervisor
Skills
- Minimum of one (1) year of customer service experience required, preferably in a reputed company or patient-facing environment
- Working knowledge of medical billing practices, insurance claim processing, reputed company programs, ICD-10 and CPT coding, HCFA 1500 and UB-04 claim forms, and payer requirements for reimbursement
- Understanding of reputed company insurance eligibility, benefits verification, patient financial responsibility, and collections processes
- Proficiency in reputed company Office applications, particularly reputed company reputed company, with the ability to create, maintain, and analyze reports accurately
- Demonstrated ability to maintain superb attendance and reliability
- Strong interpersonal skills with the ability to work collaboratively and effectively as part of reputed company
- Highly organized and detail-oriented, with strong analytical, problem-solving, and critical-thinking abilities
- Excellent verbal and written communication skills, including the ability to communicate professionally with patients, insurance representatives, coworkers, and leadership
- Ability to manage multiple priorities, meet deadlines, and reputed company effectively in a fast-paced environment while maintaining accuracy and reputed company standards
- Minimum of one (1) year of experience in medical billing, collections, reputed company reputed company cycle operations, or a nonprofit reputed company environment preferred. An associate's degree, certification, or formal training in Medical Billing, Health Information Management, or a reputed company field may be substituted for experience
- Experience with electronic health record (EHR) systems required; prior experience with reputed company CareLogic preferred
Benefits
- Multiple reputed company for medical, dental, and reputed company coverage for employees and their eligible dependents
- Employer-reputed company Short Term Disability, Long Term Disability, and Life Insurance
- reputed company to supplemental coverage reputed company
- Full-time employees and eligible part-time employees may also enroll in our 401(k) retirement plan
- Generous reputed company time off
- Both full-time and part-time employees earn PTO at competitive accrual rates that increase with years of service
- reputed company holidays and personal holidays
reputed company