National Partners In Healthcare · 1 day ago
Customer Service Representative
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Responsibilities
Answer incoming patient, insurance company and physician office telephone calls.
Receives and responds to all patient inquiries and complaints that may pertain to all phases of operations including billing, claims, claim denials, payments, and collection activities.
Records all customer contacts, including resolution or forwarding action taken to refer question to proper party.
Whenever possible, resolves question directly so that patient receives prompt satisfaction.
Explains account situation accurately in simple language so that patient can understand the explanation and how it applies to the particular question.
Responds promptly to all written inquiries or notifies patient if there will be a delay in obtaining a final resolution to the problem.
Takes note of recurring questions or problems that may be resolved or alleviated by changes in policy or procedures.
Attends in-service training to improve skills and to keep abreast of changes in contracts and procedures.
Identifies and communicates complaint patterns to management team.
Maintains strictest confidentiality.
Document all actions in the system notes.
Demonstrate a positive attitude and serve others with personal service 100% of the time.
Use the phone in a responsible, courteous and professional manner; keeping personal phone calls to a minimum.
Meet Customer satisfaction standards set forth by management
Meet Productivity/Performance standards as set forth by management.
Adhere to all company policies and procedures.
Adherence to and compliance with information systems security is everyones responsibility. It is the responsibility of every computer user to: Know and follow Information Systems security policies and procedures. Attend Information Systems security training, when offered. Report information systems security problems.
Perform other duties as assigned.
Qualification
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Required
High-school graduate or equivalent
Excellent verbal and written language skills to answer customer concerns in simple, understandable language
Proficiency with math skills - (i.e., skill in calculation of charges, payments and adjustments)
Knowledge of insurance processing, guidelines and general laws related to all payers
Must be able to establish proficiency in using the IDX practice management system
Excellent customer service skills
Ability to multi-task effectively
Data entry skills
Basic knowledge of CPT, ICD-9 and ASA codes
Sound problem solving skills & decision making ability
Strong analytical skills
Skill in gathering and reporting information from multiple sources, (IDX, internet, electronic records)
Must have a pleasant disposition and high tolerance level
Must display a positive teamwork attitude and strong interpersonal skills
Ability to work effectively and independently with staff, physicians and external customers with limited supervision
Ability to maintain confidentiality
Ability to read, write, and speak English
Willingness and ability to follow direction and/or company policy as directed by management
Preferred
Associate degree in business administration or related field of study
Two years of collection experience or equivalent combination of education and experience
Prefer experience in a health care organization
Company
National Partners In Healthcare
National Partners in Healthcare partners with physicians and health systems to deliver high-quality care, aligning synergies, and practices.
Funding
Current Stage
Late StageTotal Funding
$125MKey Investors
Texas Capital Bank
2023-04-21Debt Financing· $125M
Leadership Team
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