Customer Services Representative

Primary City/State:

Phoenix, Arizona

Department Name:

Billing Customer Service

Work Shift:

Day

Job Category:

Revenue Cycle

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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.

EOE/Female/Minority/Disability/Veterans (~~~)

Our organization supports a drug-free work environment.

Privacy Policy (~~~)

Banner Health is one of the largest, nonprofit health care systems in the country and the leading nonprofit provider of hospital services in all the communities we serve. Throughout our network of hospitals, primary care health centers, research centers, labs, physician practices and more, our skilled and compassionate professionals use the latest technology to make health care easier, so life can be better. The many locations, career opportunities, and benefits offered at Banner Health help to make the Banner Journey unique and fulfilling for every employee.

EOE/Female/Minority/Disability/Veterans

Banner Health supports a drug-free work environment.

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