Customer Service Representative II

Summary: Responsible for communicating with patients, insurance companies, and other parties to collect outstanding balances, resolve billing disputes, and ensure proper reimbursement for the hospital. Does this position require Patient Care? No Essential Functions: -Monitor and manage the accounts receivable of the hospital by reviewing and following up on outstanding balances. -Communicate with insurance companies, patients, and other relevant parties to resolve billing issues and outstanding claims. -Contact patients and insurance companies via phone calls, emails, or written correspondence to collect outstanding balances. -Investigate and resolve billing disputes or discrepancies by gathering necessary documentation, coordinating with the billing department, and communicating with patients or their representatives. -Verify insurance coverage and eligibility for patients, ensuring accurate billing and claim submission. -Assist patients in understanding their medical bills, insurance coverage, and payment options. -Maintain accurate and up-to-date records of collections activities, payment arrangements, and communication with patients and insurance companies.

Education
High School Diploma or Equivalent required or Associate's Degree Healthcare Management preferred

Can this role accept experience in lieu of a degree?
No

Licenses and Credentials

Experience
Collections Experience 2-3 years required

Knowledge, Skills and Abilities
- Knowledge of medical billing processes, insurance claim submission, and reimbursement principles.
- Familiarity with insurance plans, government programs, and their billing requirements.
- Excellent communication skills, both written and verbal, to interact effectively with patients, insurance companies, and colleagues.
- Strong negotiation and problem-solving skills to resolve billing disputes and collect outstanding balances.
- Attention to detail and accuracy in recording collection activities and maintaining documentation.

Physical Requirements

• Standing Frequently (34-66%)
• Walking Frequently (34-66%)
• Sitting Occasionally (3-33%)
• Lifting Frequently (34-66%) 35lbs+ (w/assisted device)
• Carrying Frequently (34-66%) 20lbs - 35lbs
• Pushing Occasionally (3-33%)
• Pulling Occasionally (3-33%)
• Climbing Rarely (Less than 2%)
• Balancing Frequently (34-66%)
• Stooping Occasionally (3-33%)
• Kneeling Occasionally (3-33%)
• Crouching Occasionally (3-33%)
• Crawling Rarely (Less than 2%)
• Reaching Frequently (34-66%)
• Gross Manipulation (Handling) Frequently (34-66%)
• Fine Manipulation (Fingering) Frequently (34-66%)
• Feeling Constantly (67-100%)
• Foot Use Rarely (Less than 2%)
• Vision - Far Constantly (67-100%)
• Vision - Near Constantly (67-100%)
• Talking Constantly (67-100%)
• Hearing Constantly (67-100%)

The General Hospital Corporation is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.