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PFS Customer Service Rep

Company: Prisma Health
Location: Columbia
Posted on: November 11, 2019

Job Description:

Job Details Associates Degree Required
Job Summary:?To perform credit balance resolution and customer service functions of patient accounts.? Maintain current knowledge of institutional/departmental policies, third party payer regulations and all regulatory billing requirements, and standard institutional and physician billing forms and processed.? Communicates with third party payers, patients, and hospital departments for timely resolution of; outstanding accounts receivable, patient billing issues, and credit balance resolution.
All team members are responsible for bringing life to our Purpose Statement ? Inspire health. Serve with compassion. Be the difference ? through every action and every interaction at work.?

Responsibilities:JOB KNOWLEDGE: Must follow departmental procedures and processes. Must be technically competent in all aspects of customer service ? able to answer all patient concerns completely and in a timely manner. Must utilize computer systems to full potential including being responsible for learning new computer techniques and programs as they become available. Adheres to established guidelines.?PRODUCTIVITY: Must meet daily performance goals. All calls should be answered by the second ring, the average?answer speed should be no more than ten seconds, and the average abandon times should be less than thirty seconds. Actively contributes to department goals. Effectively utilizes time and resources, assisting coworkers as time allows. Must be dependable.QUALITY OF WORK: Receive and answer patient telephone and written inquiries. Able to fully explain account payment and settlement process to patient and third party payers. Responsible for setting up payments arrangements. Clearly documents all patient telephone calls and billing information. Prepares appropriate adjustments and resolution procedures for third party claims with incorrect account balances. Receive, balance and distribute all payments received by the department or patients to the Cash Posting Team.PLANNING AND ORGANIZATION: Work area is to be kept neat, orderly and tidy. Responsible for daily time management, task management and completion. Must be able to effectively plan, organize, and execute position responsibilities.SERVICE AND SATISFACTION:? Must demonstrate commitment to achieving superior customer satisfaction. Greet and assist patients. Answer all patient concerns completely and knowledgeably in a timely manner. Clearly communicate billing and posting issues to supervisor/team leader. Maintain positive, cooperative demeanor and attitude at all times.POLICIES AND PROCEDURES:? All policies and procedures will be strictly adhered to. HIPAA, security, dress code, etc. will be conscientiously followed. Understands, promotes, and adheres to all matters of compliance with laws and regulations. Demonstrates the highest of business ethics and good judgment with integrity.ATTENDANCE:? Regularity and punctuality in reporting to work and returning from breaks is expected. Regular meeting attendance and participation is required.Performs other duties as assigned.
?Requirements:Education: Associate's degree in Business or related field or an equivalent combination of education and/or experience.Experience: Prefer at least 1 year of patient accounts experience.Number and Type of Employees Supervised: NoneLicensure, Registry or Certification Required: NoneSpecial Training: Must have excellent communication and organizational skills; must be a team player and have computer experience; 10 key calculator; knowledge of ICD9, CPT and HCPCS coding; must be able to think analytically.
EEO/AA
Minorities/Females/Disabled/Veterans

Keywords: Prisma Health, Columbia , PFS Customer Service Rep, Sales , Columbia, South Carolina

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