["Customer Service Representative","Customer Service Representative"]

KPC Global MSO

  • Santa Ana
  • 2 days ago
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    Skills

    • Administrative Skillsunmatched
    • Analysis Skillsunmatched
    • Billingunmatched
    • Blood-Borne Pathogensunmatched
    • Contract Negotiationunmatched
    • Customer Support/Serviceunmatched
    • Emergency Responseunmatched
    • Healthcareunmatched
    • Hospitalunmatched
    • Infection Controlunmatched
    • Information/Data Security (InfoSec)unmatched
    • Insuranceunmatched
    • Interpersonal Skillsunmatched
    • Lift/Move 25 Poundsunmatched
    • Manual Dexterityunmatched
    • Medical Billingunmatched
    • Medical Recordsunmatched
    • Medical Treatmentunmatched
    • Pathogensunmatched
    • Patient Educationunmatched
    • Physical Demandsunmatched
    • Policy Developmentunmatched
    • Procedure Developmentunmatched
    • Quality Managementunmatched
    • Safety/Work Safetyunmatched
    • Telephone Skillsunmatched
    • Telephone Technologyunmatched
    • Third-Party Payerunmatched
    • Typingunmatched

    Description

    * THIS IS A FULLY ONSITE POSITION*

    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:
    • High school diploma or combination of relevant experience and education required.
    • Previous customer service experience required
    • Healthcare experience highly preferred
    SKILLS & ABILITIES REQUIREMENTS:
    • Outstanding communication, interpersonal, mulit-tasking and analytical skills
    • The ability work well with minimal supervision in a high-volume environment
    • Proven ability to remain composed and professionally under difficult situations with a strong team approach
    • PC proficiency with various Windows applications
    • Knowledge of phone systems and technology
    • Skill in recognizing and responding to emergency/high-priority situations
    PHYSICAL REQUIREMENTS:
    • Body Positions: Sitting and standing for prolonged periods.
    • Body Movements: Arm and hand dexterity.
    • Body Senses: Must have command of close and distant sight, color perception and hearing.
    • Strength: Ability to lift and move up to 25-pounds.

    Working Environment:
    1. Work in an office, where the climate is controlled
    2. Occasional travel between medical groups and/or hospitals when necessary. 0-25 % of the time.
    OSHA exposure category: III
    1. Category I - Position includes tasks that involve exposure to Blood borne Pathogens.
    2. Category II - Position includes tasks that do not have exposure to Bloodborne Pathogens, however employment may require unplanned Category I tasks.
    3. Category III - Positions includes tasks that do not involve exposure to Bloodborne Pathogens. This position would not be required to perform Category I tasks.

    Numbers & Facts

    LocationSanta Ana

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