What are the responsibilities and job description for the Customer Service Representative (Santa Ana, CA) position at KPC GLOBAL MEDICAL CENTERS INC.?
Job Description
Job Description
SUMMARY
Answers telephones, routes callers, takes messages and provides routine information to callers
REQUIREMENTS
RESPONSIBILITIES AND DUTIES :
- Maintains established departmental policies and procedures, objectives, quality improvement program, safety, environmental and infection control standards.
- Operates microfilm equipment in retrieving file data.
- Interprets insurance program procedures and provisions to resolve routine patient billing inquires and problems.
- Counsels patients requiring external financial assistance, including recommending third parties.
- Answers all inquiries regarding patient accounts.
- Researches credit balance accounts, refunds overpayments to patient, guarantor or third party payer.
- Secures information relative to patient’s financial status or insurance coverage. May complete insurance forms, verify insurance coverage, and secure other information if needed.
- Prepares appropriate information for billing personnel.
- Answers telephones, routes callers, takes messages and provides routine information to callers. Responds promptly to inquiries and requests.
- Negotiates contractual payment plans with patients as authorized.
- Performs a variety of routine typing and clerical duties as necessary.
- Receives complaints of poor or inadequate service and determines action to be taken.
- Traces missing files.
- Attends meetings as required.
- Other duties as assigned.
EDUCATION & EXPERIENCE REQUIREMENTS :
SKILLS & ABILITIES REQUIREMENTS :
PHYSICAL REQUIREMENTS :
Working Environment :
OSHA exposure category : III
