Customer Accounts Specialist - Start Now

Description
The position of Customer Accounts Specialist is within our Revenue Cycle Management located in Livermore, California.
In this role, you will be responsible for handling inbound calls regarding questions on billing statements, and the follow-up of outstanding patient balances.
Working knowledge of billing, insurance and interpreting EOB's is mandatory.
The representative will be tasked to resolve unpaid accounts in a timely and efficient manner while maintaining quality and production standards set for the position.
Medical Billing Insurance Collector/Customer Service.

Responsibilities:
This position is responsible for, but not limited to, the following:
. Assures that all phases of processing client information are in compliance with HIPAA, PHI regulatory and related policies and practices; reports any Compliance issues to the Director of Operations.
. Coordinates the insurance verification process and makes sure that the client understands their co-pay responsibility. Responsible to follow-up as necessary to facilitate the collection of co-pays.
. When applicable may gather credit card or other payment processing information from client and enters into system to process payment for account.
. Manages the entry of client information into computer system in a timely manner and contact of referral source, customer and/or client to obtain missing information needed to set up client for service. Ensures that the data is accurate and complete.
. Confirms all sales orders in the system and ensures that all required information (e.g. proof of delivery, signed prescription, signed acknowledgement form, etc.) is on file before submitting claim for payment.
. Follows up on all missing sales orders and reconciles billing questions on a regular basis until payment status is complete.
. Responsible for the timely submission of claims (electronic and paper as needed) to payers; Corrects and resubmits front-end and back-end rejected claims.
. Ensures that all cash is posted to the correct account in a timely manner.
. Responsible for the timely follow-up and collection of payments due to the organization. This is accomplished by generating invoices and/or following up with clients and/or payers.
. Uses available resources to maintain current regulatory guidelines and reimbursement information to insure that the company is obtaining all appropriate information as required for billing and reimbursement.
. Performs other duties/projects as assigned by management including customer service support: processing, resolving and logging customer inquiries.
. Communicate with up to 50 patients each day through phone calls and emails in a professional and courteous manner.
. Handle a variety of inquiry categories including questions about patient statements, billing, and general questions.
. Helps reconcile patient accounts to ensure correctness of patient statements. Has a working knowledge of Medicaid and Medicare programs and commercial insurances
. Ability to interpret Explanations of Benefits or Remittance Advice (EOB or RA).
. Able to explain a billing statement and methodology.
. Maintains accurate and complete records concerning collection activity on all accounts according to company procedures.
. Process requests quickly, accurately, and consistently with general supervision
. Submit adjustment / refund requests if needed.
. Keeps management informed of areas of concern and problems identified.
. Assists in monthly closing by assuring all appropriate information is entered into the system.
. Process credit card payments.
. Monitors hardship applications.

BASIC QUALIFICATIONS | EDUCATION:
High school graduate or equivalent required
Strong verbal and written communication skills
Knowledge of Revenue Cycle Customer Billing
Excellent oral and written communication skills preferred
Detail oriented with a focus on exceptional customer service
Strong time management skills and ability to manage individual assignments
Ability to work in a team environment
Strong attention to detail
Requires the ability to work with and maintain confidential information

PREFERRED QUALIFICATIONS:
Secondary education or Medical Certification
Experience in the healthcare industry preferred
Knowledge of customer relationship management (CRM) tools and related analytics desired

COMPETENCIES:
Experience with Microsoft Office - Word, Excel, PowerPoint required
Familiarity with performance metrics and ability to meet identified targets required
Strong customer service skills and professional demeanor required
Working knowledge of HIPAA and the Affordable Care Act;
Must have an aptitude for problem solving and staff coaching/training;
Must be able to communicate both written and orally in a business professional manner;
Must possess the ability to effectively present information in one-on-one and small group situations to customers and other employees
Must possess the ability to work in an environment of multiple concurrent tasks and constant interruptions
Analytical skills are required