Healthcare and Billing Customer Service Representative

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Catholic Health is one of Long Island's finest health and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island.

At Catholic Health, our primary focus is the way we treat and serve our communities. We work collaboratively to provide compassionate care and utilize evidence based practice to improve outcomes - to every patient, every time.

We are committed to caring for Long Island. Be a part of our team of healthcare heroes and discover why Catholic Health was named Long Island's Top Workplace!

Under the direction of the Physician Revenue Realization Manager, the Customer Service Representative is responsible for customer service related activities in a high volume call center.

Responsibilities:

• Answer incoming calls from patients, insurance carriers and provider offices.
• Return all messages and emails from patients, insurance carriers and provider offices within a 48 hour time period.
• Provide patient with an explanation of their physician bill and resolve inquiries and disputes related to the bill.
• File all patient correspondence received to their accounts and takes appropriate system actions to ensure accounts are billed out correctly.
• Transfer accounts to collections.
• Follow up on missed payment arrangements.
• Perform follow up on all outstanding accounts assigned in accordance with established standards and procedures.
• Determines reason for denial and appeals accounts as necessary.
• Reviews and edits any rejections stemming from electronic billing submissions and corrects and resubmits claims.
• Verifies accuracy of patient insurance and demographic information.
• Generates bills to patients for services not covered by insurance.
• Investigates over-payments and takes appropriate action to resolve. Initiates refund requests in accordance with departmental procedures.
• Follows up on payor payment variances.
• Send secondary claims to appropriate payors.
• Performs other related duties as requested.

Qualifications:

• High School diploma or equivalent required.
• Strongknowledge of medical insurance and healthcare billing; EPIC experience required
• Establishes and demonstrates competency in accounts receivable systems and associated applications
• Ability to communicate effectively with insurance carriers, patients, and co-worker
• Ability to comply with procedural guidelines and instructions and to solicit assistance when situations arise that deviate from the norm.
• Required to sit for long periods of time interspersed with standing, walking and bending.
• Excellent verbal and auditory skills are required for communicating with internal staff, customers and representatives from external departments and agencies.
• Near vision acuity is required for maintaining patient accounts and computer work.

One year of Physician Billing experience, including insurance carrier follow up and customer service, required.

The pay for this position ranges from $21.50 - 35.00 per hour.

This range serves as a good faith estimate and actual pay will encompass a number of factors, including a candidate's qualifications, skills, competencies and experience. The salary range or rate listed does not include any bonuses/incentive, or other forms of compensation that may be applicable to this job and it does not include the value of benefits.

At Catholic Health, we believe in a people-first approach. In addition to the estimated base pay provided, Catholic Health offers generous benefits packages, generous tuition assistance, a defined benefit pension plan, and a culture that supports professional and educational growth.

Job Type: Full-time

Pay: $21.50 - $35.00 per hour

Expected hours: 37.50 per week

Benefits:

• 401(k)
• Flexible schedule
• Referral program

Experience level:

• 1 year

Shift:

• Day shift

Weekly day range:

• Monday to Friday

Work setting:

• Call center
• Hybrid work

Ability to commute/relocate:

• Melville, NY 11747: Reliably commute or planning to relocate before starting work (Required)

Education:

• High school or equivalent (Required)

Experience:

• Medical Insurance and Healthcare Billing: 1 year (Required)
• Insurance Follow-Up: 1 year (Required)
• EPIC: 1 year (Required)

Work Location: Hybrid remote in Melville, NY 11747