What are the responsibilities and job description for the Customer Service Representative position at Sonora Quest?
Primary City / State :
Phoenix, Arizona
Department Name :
Billing Customer Service
Work Shift :
Job Category :
Revenue Cycle
This is an in-office position Monday - Friday.
POSITION SUMMARY
Provides Customer Service functions dealing directly with patient inquiries and complaints as well as issues as reported via phone or customer service calls and correspondence. Oversees collection of timely documentation from network providers and patients to ensure adherence to quality standards and timely filing requirements
CORE FUNCTIONS
1. Receives incoming phone calls from patients and providers in reference to payment issues, perceived inappropriate patient service and updates on insurance data.2. Responsible for determining nature of call and documenting via claim system an appropriate associated reason code.3. Effectively research, resolve and respond to billing issues accurately and expeditiously.4. Supplies support function to Reimbursement area in posting zero payment Explanation of Payments from Insurance companies.5. Monitor patient accounts providing account reconciliation to facilitate prompt payment and prevent inappropriate transfers to the outside collection agency.6. Responsible for cross-functional assistance with EOB Adjustments, Bad Debt Recovery Trailer Entry and Cash Payment mailing.
KNOWLEDGE, SKILLS AND ABILITIES
Requires the ability to communicate clearly and concisely. Mathematical skills resulting from external and internal sources, verbal and written communication skill, capability to prioritize completing multiple projects.
MINIMUM QUALIFICATIONS
Requires a high school diploma or GED; with a minimum of two years of customer service experience. Requires excellent verbal and organizational skills, the ability to interface with difficult customers and work with minimum direct supervision to meet required goals.
PREFERRED QUALIFICATIONS
One year of previous medical billing experience. Additional related education and / or experience.
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AZ
Full Time