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Advocate Health Care · 1 day ago

Customer Service Rep 1

Chicago, IL

Full-time

Onsite

Entry Level

$20/hr - $30/hr

2+ years exp

Advocate Health Care is seeking a Customer Service Representative to deliver an exceptional Patient Financial experience. The role involves managing inbound calls, answering patient inquiries, and ensuring effective resolution and follow-up while demonstrating excellent customer service skills.

Clinical TrialsDeliveryHealth Care

H1B Sponsor Likely

Responsibilities

Delivers an exceptional Patient Financial experience by receiving and directing the public, by telephone or other electronic means, in a professional and courteous manner and with consciousness and sensitivity to the diversity of the organization and its patients' needs

Manages a high volume of inbound calls, answers patient inquiries, and determines the appropriate path for resolution and follow-up

Demonstrates excellent customer service and expertise to patients, guarantors, and other external and internal contacts through oral and written communication

Responds to and documents all patient and internal inquiries regarding hospital and professional visits in the patient billing platform as they relate to the patient financial experience

Understands varying business processes and procedures of both the Physician Billing Office and Hospital Billing Office and is able to evaluate the most appropriate route for account resolution

Reads, interprets, and understands various differing insurance correspondence including both explanation and coordination of benefits

Demonstrates a basic understanding of varying different reimbursement terms across multiple payers and benefit plan types (HMO, PPO, Indemnity, HDHP) in both the Physician Billing and Hospital Billing landscape and how those terms may affect the responsible party's benefits and subsequent balance(s)

Demonstrates a basic understanding of the standard healthcare coding methodologies, including, but not limited to CPT, HCPCS and ICD-10

Performs all clerical functions required to complete a request using available information and resources. Coordinates to resolve issues requiring follow-up with the appropriate team, insurance companies, attorneys' offices and other departments

Performs appropriate updates to insurance coverage, demographic information and contact information in patient billing system

Performs analysis of the responsible party's outstanding balance and provides consultative services to establish the most efficient and effective account resolution that meets the needs of the patient while also protecting the financial viability of Advocate Health

Prompts guarantors to pay outstanding balances over the phone using a credit or debit card, provides the lockbox mailing address for physical checks or initiates monthly payment arrangements for patients through Advocate Health's third-party partner

Responsible for meeting and maintaining Productivity measures and Quality Assurance goals as established by the Customer Service Department

Qualification

Customer service experienceHospital billing knowledgeEpic billing applicationsHIPAA knowledgeMedical terminologyBilingual (Spanish/English)Clerical functionsCommunication skillsProblem-solving skills

Required

High School Diploma or GED with 2 years relevant customer service experience

Demonstrates excellent customer service and expertise to patients, guarantors, and other external and internal contacts through oral and written communication

Manages a high volume of inbound calls, answers patient inquiries, and determines the appropriate path for resolution and follow-up

Responds to and documents all patient and internal inquiries regarding hospital and professional visits in the patient billing platform as they relate to the patient financial experience

Understands varying business processes and procedures of both the Physician Billing Office and Hospital Billing Office and is able to evaluate the most appropriate route for account resolution

Reads, interprets, and understands various differing insurance correspondence including both explanation and coordination of benefits

Demonstrates a basic understanding of the standard healthcare coding methodologies, including, but not limited to CPT, HCPCS and ICD-10

Performs all clerical functions required to complete a request using available information and resources

Coordinates to resolve issues requiring follow-up with the appropriate team, insurance companies, attorneys' offices and other departments

Performs appropriate updates to insurance coverage, demographic information and contact information in patient billing system

Responsible for meeting and maintaining Productivity measures and Quality Assurance goals as established by the Customer Service Department

Preferred

Bachelor's degree

2 years progressive work experience in a hospital billing, professional billing or shared services environment

Experience with Epic's Resolute Hospital or Resolute Professional billing applications

Working knowledge or professional and hospital billing and follow-up

Knowledge of HIPAA standards and medical terminology and billing practices

Bi-lingual (Spanish and English)

Company

Advocate Health Care

Advocate Health Care is an integrated healthcare delivery system based in Illinois, United States.

Founded in 1995

Oak Brook, Illinois, USA

10001+ employees

http://www.advocatehealth.com

H1B Sponsorship

Advocate Health Care has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (26)

2024 (9)

2023 (6)

2022 (16)

2021 (8)

2020 (7)