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Customer Service Representative

Pacer Group

Below mentioned is the job description for your reference:


Job Title: Customer Service Representative


Location: Whittier, CA 90601
Job Type: 13 Weeks
Schedule: Monday-Friday, Day Shift
Hours: 7:30 AM-4:00 PM or 8:00 AM-4:30 PM

Position Summary


The Customer Service Representative performs routine and complex clerical and customer service duties while assisting patients, family members, visitors, and clinic personnel. This position is responsible for addressing billing-related questions, verifying insurance information, resolving patient account issues, and providing courteous and professional service.

Required Skills

  • Knowledge of medical billing and collections practices.
  • Basic understanding of medical coding.
  • Strong computer and data-entry skills.
  • Excellent customer service and communication skills.
  • Ability to interact courteously and professionally with patients and staff.
  • Strong attention to detail and organizational skills.
  • Ability to maintain patient confidentiality and comply with HIPAA requirements.
  • Bilingual Spanish skills are preferred.
Education & Experience


Required:
  • Minimum of 1 year of experience in billing and collections.
  • High school diploma or equivalent, or 7 years of billing and collections experience.
Preferred:
  • 2 years of experience in billing and collections.
  • Experience, certification, or proficiency with EPIC applications.
Key Responsibilities
  • Receive and resolve patient inquiries and complaints related to insurance and billing.
  • Initiate accurate account adjustments and follow billing issues through resolution.
  • Respond to correspondence regarding billing questions and assist patients with appropriate financial arrangements.
  • Verify insurance status, eligibility, and patient account information.
  • Assist patients with billing questions and update insurance information as needed.
  • Forward billing information to appropriate insurance carriers to ensure timely and accurate payment.
  • Maintain knowledge of applicable insurance carriers and billing procedures.
  • Reconcile refund accounts, attach required documentation, and forward information for processing.
  • Review credit statements to ensure refunds are issued to the correct recipients.
  • Protect patient protected health information (PHI) in accordance with HIPAA, state and federal regulations, and organizational policies.
  • Maintain a safe and professional environment while following applicable safety practices.
  • Perform other duties and responsibilities as assigned.
Personal Qualities
  • Personable, courteous, professional, and dependable.
  • Culturally sensitive and respectful of differing values.
  • Flexible and adaptable in a fast-paced environment.
  • Organized with the ability to establish priorities.
  • Strong decision-making and problem-solving skills.
  • Excellent time-management skills and work ethic.
  • Commitment to providing high-quality customer service.
  • Comfortable working at a computer and performing data entry for extended periods.
  • Ability to maintain confidentiality and handle sensitive information appropriately.
Communication Skills
  • Strong verbal and written communication skills in English.
  • Ability to communicate effectively with patients, families, and staff.
  • Strong interpersonal and customer service skills.
  • Bilingual Spanish skills are preferred.
  • Ability to actively participate in staff meetings and team discussions.
Vacancy posted 1 day ago
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