What are the responsibilities and job description for the ASC Customer Service Representative II position at Springfield Clinic?
Job Description
The ASC Customer Service Representative II is responsible for analyzing case costing to ensure accuracy and profitability.
Job Relationships
The ASC Customer Service Representative II is responsible for analyzing case costing to ensure accuracy and profitability.
Job Relationships
- Reports to the ASC Manager-Billing Compliance and Optimization
- Monitoring ASC bad debt report for trends
- Acts as a liaison between the Ambulatory Surgery Center and the Patient Accounting / Revenue Cycle departments
- Works claim corrections and Athena edits as needed
- Prepare self-pay / underinsured self-pay quotes and communicates with Provider offices and Patient Advocate Team as necessary.
- Tracks all Cosmetic quotes, ensuring charge amounts and payment amounts are posted appropriately
- Performs analyses for each out of pocket /cosmetic patient for profitability and accuracy of quotes and provides real time feedback to Providers and Management.
- Assists with ROIs and reimbursement analysis as needed
- Monitors applicable reports to ensure profitability of cases. Follows specific ASC cases throughout the revenue cycle to ensure profitability. Advises ASC Billing Compliance and Optimization Manager and/or Director of Operations of potential reimbursement issues.
- Monitors ASC denial report and acts as a resource to help implement change moving forward
- Monitor reports and dashboards to ensure accurate case costing
- Takes initiative to teach and share new information and provide constructive feedback
- Answer questions regarding insurance coverage and other billing issues
- Maintain proficiency with insurance and billing issues by collaborating with Patient Accounting, Managed Care, and Operations. Participate in meetings and training sessions as appropriate.
- Acts as back up to the Customer Service Rep I as needed. Comply with the Springfield Clinic incident reporting policy and procedures.
- Adhere to all OSHA and Springfield Clinic training & accomplishments as required per policy.
- Provide excellent customer service and adhere to Springfield Clinic's Code of Conduct and Ethics Standards.
- Perform other job duties as assigned.
- High School graduate or GED required.
- Experience and familiarity with Medical Terminology or previous experience in any related medical field essential.
- Two to three (2-3) years’ experience in medical billing, insurance, coding knowledge preferred.
- Required to attend in-services and workshops relevant to position.
- Must respect the security of Patient Confidentiality Statement.
- Must be able to work well with others, including patients, physicians, and other Clinic employees.
- Ability to work well under stress.
- Good organizational and communication skills.
- Demonstrate professional behavior.
- Computer knowledge is essential.
- Manual dexterity required for use of keyboard
- Office environment
- Working under stress and use of telephone required
- Some bending, stretching and light manual lifting required
- Requires sitting for long periods of time
- HIPAA1
