CRC Specialist

JOB DUTIES: The Customer Service Representative under the direction of the Customer Service Manager will handle a high volume of incoming customer service calls in a call-center environment and respond to caller s concerns to ensure customer satisfaction. The Customer Service Representative is also responsible for the research and distribution of incoming correspondence, additionally, the incumbent responds to phone and written inquiries from patients, insurance companies, third party payers, governmental agencies, as well as processes subpoenas of financial records. Special projects assigned by the Customer Service Manager to include bad debt assignments, financial assistance program and self pay work list completing assigned workload within established time frame. Incoming phone calls, correspondence and payment arrangements are made according to established guidelines. JOB QUALIFICATIONS: The ability to prioritize assignments and multi task in an accurate and prompt manner. Able to demonstrate analytical skill to identify, evaluate and resolve patient billing concerns. Able to work quickly and accurately and complete assigned workload within established time frame. Knowledge of hospital billing, reimbursement, contracts, and write offs, and ability to determine patient liability and overpayment amounts. Knowledge of who to contact within a hospital organization for needed information and an understanding of related third party payers and insurance companies to affect collection on accounts. Extensive telephone experience and experience dealing with the public required. Collection experience, preferably working knowledge of Medical billing and knowledge of collection techniques and collection law, specifically knowledge and adherence procedures of the Rosenthal Act, so as to project a professional image for the Medical Center and make legally acceptable payment arrangements and demands with/or for our patients. Skillful in obtaining payment arrangements, handling complaints and explosive situations over the phone or in person and demonstrating good judgment in these situations. The ability to deal with the public always projecting a pleasant, helpful and caring disposition and must be professional in both appearance and approach. Good skills in reading, writing grammatically, speaking clearly and distinctly using correct grammar. This position requires a general knowledge of overall Business Office functions. Bilingual Spanish/English preferred. Minimum one year in a medical customer service call center environment preferably in a hospital business office setting.

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