The representative serves as the primary point of contact for patients, insurance companies, and attorneys to resolve billing inquiries and collect on self-pay balances. They are responsible for documenting interactions in the CRM, performing insurance follow-ups, and ensuring billing adjustments are properly approved.
Requirements overview
Candidates must have a high school diploma or GED and at least 1-2 years of customer service experience, preferably in a call center environment. Experience with medical revenue cycle processes and insurance collections is highly preferred.
Community Health Systems is one of the nation's leading healthcare providers. With healthcare delivery systems in 32 distinct markets across 12 states, CHS operates 60 affiliated hospitals with more than 8,000 beds and more than 800 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, imaging centers, cancer centers, and ambulatory surgery centers.
Customer Service & SupportHealthcareFinance & AccountingAdministrative
Description
Benefits
* Comprehensive Health Coverage – Medical, dental, and vision plans to keep you
and your family healthy.
* Future Security: 401(k) with matching
* Student Loan Support – Up to $10,000 repayment assistance, because we invest
in your future.
* Educational Tuition Assistance
* Competitive Pay & Full Benefits – A salary and package designed to reward
your expertise and dedication.
Job Summary
The Call Center Representative - Hospital Billing serves as the initial point of
contact for customers, addressing inquiries, resolving issues, and delivering
high-quality service to ensure a positive customer experience. This entry-level
role requires excellent communication skills, attention to detail, and the
ability to manage a variety of customer requests through multiple channels,
including phone, email, and chat. The Representative works in a
performance-driven environment, adhering to established service metrics and
standards, while collaborating with other departments to ensure timely and
effective resolution of customer concerns.
Essential Functions
* Responds to customer inquiries through phone, email, chat, or other
communication channels, providing accurate and timely information.
* Clarifies and resolves customer issues by identifying their needs,
determining root causes, and implementing effective solutions.
* Escalates complex or unresolved issues to appropriate team members or
departments, ensuring prompt follow-up and resolution.
* Provides triage support for common issues related to platforms, applications,
and back-office processes.
* Documents all interactions accurately and thoroughly in the customer
relationship management (CRM) system, ensuring detailed records of inquiries
and resolutions.
* Adheres to quality standards and key performance indicators (KPIs), including
productivity, response times, and customer satisfaction ratings.
* Delivers exceptional customer service by maintaining professionalism,
patience, and a customer-focused attitude in all interactions.
* Contributes to a team-oriented work environment by sharing insights, offering
assistance, and collaborating effectively with peers and supervisors.
* Answer in-bound calls to Shared Services Center - Nashville from patients,
insurance companies and attorneys.
* Make out-bound calls to collect on early out self-pay patient balances.
* Perform insurance follow up to address customer concerns and based on the
calls whether inbound or outbound and will research customer billing concerns
per payer and create appropriate adjustments as needed.
* Ensure created adjustments receive proper approval and sign off.
* Address coordination of benefits issues with patients.
Qualifications
* H.S. Diploma or GED required
* Associate Degree or some college coursework in a related field preferred
* 1-2 years of customer service experience required, preferably in a call
center or help desk environment required
* 1 year of experience in a hospital or physician business office preferred
* 1 year of experience in call center with background of productivity
expectations with high call volumes including customer correspondence
preferred
* 1 year of experience with medical revenue cycle processes from scheduling
through agency placement and final account disposition preferred
* Knowledge of insurance collection follow up or self-pay collections preferred
* Experience and knowledge about EOB, Remits, and UB-04s preferred
Knowledge, Skills and Abilities
* Strong verbal and written communication skills, with the ability to clearly
convey information and resolve customer concerns.
* Proficient in using computer systems, including Microsoft Office Suite and
CRM platforms.
* Excellent problem-solving and critical-thinking abilities.
* Ability to manage multiple tasks and prioritize effectively in a fast-paced
environment.
* Detail-oriented with a strong focus on accuracy and quality.
* Demonstrated ability to work independently and as part of a team.
* Strong interpersonal skills and the ability to build rapport with customers
and colleagues.
We know it’s not just about finding a job. It’s about finding a place where you
are respected, valued and where your work is purposeful and fulfilling. A place
where your talent is recognized, professional development is encouraged and
career advancement is possible.
The Shared Services Center - Nashville provides business office support
functions like billing, insurance follow-up, call center customer service, data
entry and more for hospitals and healthcare providers. But we're not only about
work. We know employing a skilled and engaged team of professionals is vitally
important to our success, so we make sure to offer competitive benefits,
recognition programs, professional development opportunities and a fun and
engaging team environment.
Community Health Systems is one of the nation’s leading healthcare providers.
Developing and operating healthcare delivery systems in 40 distinct markets
across 15 states, CHS is committed to helping people get well and live
healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites
of care, including physician practices, urgent care centers, freestanding
emergency departments, occupational medicine clinics, imaging centers, cancer
centers and ambulatory surgery centers.
Requirements
•Customer Service
•Hospital Billing
•Insurance Collection
•Communication Skills
•Problem Solving
•Critical Thinking
•Microsoft Office Suite
•CRM Platforms
•Data Entry
•Medical Revenue Cycle
•Self-pay Collections
•EOB
•Remits
•UB-04s
•Attention To Detail
Benefits
•Comprehensive Health Coverage
•Medical Plan
•Dental Plan
•Vision Plan
•401(k) with matching
•Student Loan Support
•Educational Tuition Assistance
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