Customer Service Specialist/Follow-up

 Posted an hour ago
     
2-5 years experience
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AI Summary

The role involves assisting patients with account inquiries, processing payments, and updating insurance information. Additionally, the specialist investigates outstanding insurance claims and manages electronic claim rejections to ensure timely billing.
 

Overview

We are seeking a skilled and dedicated Customer Service Support Specialist/Follow-up to join our healthcare team. Iowa Radiology is a patient-centered practice that promotes a more compassionate approach to medicine. We provide our employees the ability to bring their authentic selves to work every day, providing compassionate care for our patients in a collaborative, supportive work environment.

Location: This is primarily a remote position
Schedule: Monday - Friday, normal business hours
Status: Full-time, 40 hours per week

We want YOU to join the Iowa Rad family!
We truly care about our employees, their health and well-being, and their career goals and aspirations. The ideal candidate will play a crucial role in helping us continue to be the premier provider of radiologic services in Iowa by providing high-quality imaging services, ensuring patient safety, and delivering accurate diagnostic information.

Competitive Benefits Package including but not limited to:

  • Health, Dental, and Vision Insurance
  • Life Insurance
  • Short-term and Long-term Disability Insurance
  • Paid Time Off and Paid Holidays
  • 401k Retirement Plan
  • Referral Program
Responsibilities:
 
Customer Support
  • Assist patients with inquiries on their accounts through inbound telephone calls, written correspondence, emails and voicemails.
  • Update insurance and demographic information for patients within our account receivable system. Updates may be received from a variety of sources such as phone, email, and traditional mail.
  • Document all actions taken on an account.
  • Process credit card payments through the merchant processing system.
  • Provide price quotes and billing expectations for upcoming appointments
  • Work with patients to set up amicable payment plans and help them execute payment methods to ensure timely payments.
Follow-up
  • Investigate outstanding claims with insurance companies from the outstanding tickler queue in the billing system.  Follow-up should be completed by searches via the company’s websites or other payer portals when available. Take the necessary actions to resolve the account.
  • Update insurance and demographic information as updates are received from a variety of sources
  • Document all actions taken on an account
  • Provider credit balance information to the refund department when necessary.
  • Provide payment posters with documentation to post insurance responses when appropriate.
Administrative
  • Review return mail from patients and insurance companies; research and take necessary actions based on protocols.
  • Review, document, distribute, resolve, and scan any misc. correspondence from incoming mail or fax.
  • Investigate electronic claim rejections and take necessary actions to resolve these issues.
  • Review Health insurance claim forms and attached information for accuracy.
  • Work probate estate claims on deceased accounts.
Electronic Data Interchange
  • Review electronic claim rejections from payers.  Research rejection message, make necessary changes and rebill the services.
  • Review pre-eligibility checks, verify if suggested charges are appropriate, and make necessary changes.
Documentation and Billing Support
  • Work with clinic staff when billing and balance inquires take place in the patient-facing clinics.
  • Scan and index documentation into the document management system.
  • Work as a contributing and collaborative team member with others in the billing office to complete billing processes timely, effectively, and efficiently.
  • Attend all staff meetings and education workshops/training and notify Billing Manager of any questions/training needed to perform the role.
  • Report any issues relating to staffing, morale, work methods, and procedures to the Billing Manager in a timely manner.
Other duties
  • Performs other duties as assigned.
Education
  • High school diploma or equivalent GED required. Must be able to read, write, and speak English fluently.
Knowledge, Skills, and Abilities
  • Minimum of two (2) years of billing and insurance experience.
  • Experience with email, internet, and Microsoft office products.
  • Knowledge of procedure codes, diagnosis, and insurance specifications preferred.
  • Ability to communicate effectively with both internal team members and external customers.
  • Excellent organizational skills and the ability to multi-task and make quick but accurate decisions.
Physical, Mental, and Visual Effort
  • Continuous speaking, hearing, and visual effort.
  • Must have the ability to communicate effectively and work independently.
  • Continuous mental and visual concentration requiring attention-to-detail and accuracy.
  • Working conditions are typical to a normal office or individual home office environment.
  • Must possess manual dexterity to operate computer and other office equipment.
  • Ability to perform repetitive tasks associated with technology use (phone, computer, applications, and software).
  • Must be able to bend, stoop, kneel, or crouch as part of job functions.
  • Ability to lift and carry up to twenty-five (25) pounds when necessary
Iowa Radiology, Professional Medical Management (PMM), and Iowa Diagnostic Imaging and Procedure Center (IDIPC), are equal opportunity employers. We are committed to fostering a diverse, inclusive, and respectful workplace. All qualified candidates are given equal employment opportunity without regard to race, color, national origin, sex, gender identify, sexual orientation, age, disability, religion, or any other characteristic protected by federal, state, or local law.
 
We celebrate diversity and are committed to creating an inclusive environment for all employees. Reasonable accommodations are available to individuals with disabilities from the application process and throughout employment with any of our companies.

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