Located in the heart of the Coachella Valley, you have access to resort-style living and world-class amenities throughout Southern California.
Job Objective:
Works under the direction of the Customer Service Manager. The position is responsible for the follow through of all 24/365 VIP accounts. Will be engaged in activities relating to the collection of payment and/or resolution of self-pay balances. This position plays a critical role in recognizing donors who make significant contributions to Eisenhower Medical Center.
Job Description:
Education:
Required: High school diploma, GED or Higher Level Degree
Preferred: Associates or Bachelor degree
Licensure/Certification:
N/A
Experience:
Required: Three (3) years of healthcare experience; one (1) year of administration or donor work; working knowledge of Managed Care, Medicare/MediCal billing regulations
Essential Responsibilities:
- Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations
- Acts as direct liaison for all
- Assure patients and/or families have information to contact
- Manages new credit balances accounts daily an d prepares adjustments or refunds to zero the account balance
- Works with patient in regards to extended payment plans and/or financial assistance packages
- Will work VIP report daily to make sure billing is done appropriately
- Records newly identified insurance plans and facilitate the account processing of new plan in accordance with pre-billing policies and procedures.
- Escalates account management to PFS Manager when extraordinary issue arise
- Manages new accounts, on a daily basis, by working within Epic WQ’s. Contacts patient and/or account guarantor to solicit payment on account.
- Supports Customer Service Supervisor on patient issues escalated from frontline staff and/or outside departments.
- Acts as a leader to the frontline Customer Service staff with the ability to answer questions and give directives when Supervisor is unavailable.
- Possess the ability to train incoming and existing Customer Service staff on all operations within Customer Service.
- Works directly with Patient Relations Department on any patient concerns to provide a timely resolution.
Essential Skils:
- Ability to display analytical and problem solving skills
- Strong windows knowledge, keyboarding skills, knowledge of database system and experience with internet application
- Ability to respond positively to changing circumstances so as to maximize the opportunity
- Ability to promptly evaluate situations and exercise sound judgment
- Understanding of medical terminology, CPT/ICD9 or ICD10, coding or other related regulatory and coding requirements
- Ability to maintain positive interpersonal relationships
- Ability to demonstrate good leadership skills
- Knowledge of hospital, clinic, DME, or other related healthcare financial/billing and databases systems required
- Strong customer service skills
- Written and verbal communication skills
