Customer Service Representative – Phoenix, AZ

Job Type: OTHER
Job Category: Revenue Cycle
Location: Phoenix, AZ
Posted Date: 2024-10-24
Company: Sonora Quest

Primary City/State:

Phoenix, Arizona

Department Name:

Billing Customer Service

Work Shift:

Day

Job Category:

Revenue Cycle

*This is an in-office position Monday – Friday.

POSITION SUMMARY
Provides Customer Service functions dealing directly with patient inquiries and complaints as well as issues as reported via phone or customer service calls and correspondence. Oversees collection of timely documentation from network providers and patients to ensure adherence to quality standards and timely filing requirements

CORE FUNCTIONS
1. Receives incoming phone calls from patients and providers in reference to payment issues, perceived inappropriate patient service and updates on insurance data.

2. Responsible for determining nature of call and documenting via claim system an appropriate associated reason code.

3. Effectively research, resolve and respond to billing issues accurately and expeditiously.

4. Supplies support function to Reimbursement area in posting zero payment Explanation of Payments from Insurance companies.

5. Monitor patient accounts providing account reconciliation to facilitate prompt payment and prevent inappropriate transfers to the outside collection agency.

6. Responsible for cross-functional assistance with EOB Adjustments, Bad Debt Recovery Trailer Entry and Cash Payment mailing.

KNOWLEDGE, SKILLS AND ABILITIES

MINIMUM QUALIFICATIONS

PREFERRED QUALIFICATIONS

EEO Statement:

EEO/Female/Minority/Disability/Veterans

Our organization supports a drug-free work environment.

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