Billing Customer Service Representative Resume Samples

Description :

1. Conferring with customers by telephone or in person in order to provide information about products and services, to take orders or cancel accounts, or to obtain details of complaints.
2. Keeping records of customer interactions and transactions, recording details of inquiries, complaints, and comments.
3. Resolving customers service or billing complaints by performing activities such as exchanging merchandise, refunding money, and adjusting bills.
4. Checking to ensure that appropriate changes were made to resolve customers problems.
5. Referring unresolved customer grievances to designated departments for further investigation.
6. Determining charges for services requested, collect deposits or payments, and/or arrange for billing.
7. Reviewing insurance policy terms in order to determine whether a particular procedure or service is covered by insurance.

Experience

2-5 Years

Level

Junior

Education

BSBA

Description :

1. Assisting patients, attorneys and insurance companies with inquiries regarding accounts, billing, insurance claims, budget plans, post payments, credit transfers, adjustments and reimbursements, and resolving these concerns in accordance with JCAHO, NCQA, and other relevant government standards.
2. Processing customer refunds, account adjustments and resolves client discrepancies.
3. Responsible for monitoring and maintaining accounts. Ensuring prompt resolution of customer concerns by working with insurance companies, physician offices, hospital or coding, and compliance.
4. Reviewing daily, weekly, and monthly call reports and reports results to contact center leadership when required.
5. Assisting in the development of training materials and protocols and train staff on approved usage of software and contact center/ PDI protocols.
6. Resolving customer service complaints following contact center/ PDI protocols.
7. Assisting customers in obtaining the status and delivery date of their packages, putting in claims for lost or damaged packages, also providing refunds to customers.
8. Adding credits and reviewing billing invoices with account customers.

Experience

5-7 Years

Level

Executive

Education

Certification

Description :

1. Receiving and responding to oral and written patient account inquiries with courtesy and patience, in order to maintain positive patient relations.
2. Keeping in daily contact with various insurance companies, patients, and healthcare.
3. Covering and adhering to all HIPPA standards and procedures regarding patient privacy.
4. Advising customers of necessary actions and strategies for debt repayment up to and including repayment schedules based on patient financial situations.
5. Performing various administrative functions for assigned accounts, such as recording address, document all customer interactions, including details of their call, comments, and actions that were taken to resolve the call.
6. Process customer orders, respond to inquiries, and assist with any customer concerns courteously, timely and efficiently.
7. Administering aid regarding the understanding of services provided and offered and the pricing associated.
8. Providing technical support for health portal related issues, assisting patients to enroll, reset passwords and update email.

Experience

7-10 Years

Level

Senior

Education

BBA

Description :

1. Skillfully developed departmental goals, objectives, standards of performance, policies, and procedures.
2. Take inbound calls for the billing department, billing for visiting physicians and visiting podiatry, verify insurance, write up refunds, post patient payments, determine patient eligibility for financial hardship, collections, locate correct addresses for returned mail, and process credit card payments.
3. Led the planning and achievement of goals and objectives consistent with the agency mission and philosophy.
4. Consistently complied with applicable laws and regulations and ensured facility adhered to Medicare and Medicaid regulations.
5. Strategically planned methods to achieve operational goals and targets.
6. Continually maintained and improved the company's reputation and positive image in the markets served.
7. Created and maintained computerized record management systems to record and process data and generate reports.

Experience

2-5 Years

Level

Junior

Education

BA

Description :

1. Answering patient and customer questions regarding billing and statements.
2. Tracking and responding to customer specific reporting requirements i.e., call back, fax.
3. Notating the conversation on the patient's invoice in a practical and concise manner.
4. Use questioning and listening skills that support effective telephone communication.
5. Responsible for processing customer payments and make payment plans.
6. Recording insurance information provided by patients to update account information.
7. Communicate effectively with individuals/teams in the program to ensure high quality and timely expedition of customer requests.

Experience

2-5 Years

Level

Junior

Education

MBA

Description :

1. Handling all aspects of insurance claims processing in compliance with payer requirements and assisting patients with personal balances.
2. Receiving and responding to oral and written patient account inquiries with courtesy and patience in order to maintain positive patient relations.
3. Keeping in daily contact with various insurance companies, patients, and healthcare facilities regarding the status of claim payments and issuing appeal letters for denials as necessary.
4. Posting account receivable information, payments, discounts, and contractual adjustments.
5. Keeping current with insurance rules and regulations regarding all types of insurance coverage and adhering to all HIPPA standards and procedures regarding patient privacy.
6. Advising customers of necessary actions and strategies for debt repayment up to and including repayment schedules based on patient financial situations.
7. Performing various administrative functions for assigned accounts, such as recording address changes and reconciling accounts for deceased patients.

Experience

7-10 Years

Level

Senior

Education

BA

Description :

1. Handling of patient and payor inquiries and requests, assist with patient walk-ins and take actions related to patient account resolution. As a representative, I also take patient payments, set up payment arrangements and reconcile cash daily.
2. Duties are accurate and timely billing and follow up of Medicare, Medicaid, commercial, workers comp and employer claims in order to secure payment in a prompt manner that is in compliance with all government payer rules and regulations.
3. This position encompasses the knowledge of all imaging procedures, medical terminology and accurate data entry for optimal reimbursement. Also, to perform diversified clerical and secretarial duties to maintain imaging services/GHCS related records and to assist radiologists in contacting outside MDS for critical test results.
4. Overseeing daily administrative duties for clinical and non-clinical staff in an assigned office.
5. Managing the provider appointment schedules and assisted the practice manager in the review of staff performance, implementation of policy and procedures and participated in the clinic's operations committee.
6. Act as a liaison between the patient, provider, specialist, and an insurance company. Tracked authorizations as it applied to each managed care plan.
7. Actively and consistently support all efforts to simplify and enhance the customer experience.
8. Handling incoming calls regarding billing and general customer service within the guidelines of the billing department.

Experience

10+ Years

Level

Management

Education

BS

Description :

1. Receives calls distributed by automated call center system during established call center hours.
2. Responds to inquiries efficiently, in order to maintain acceptable wait times for callers in queue.
3. Updates demographic and insurance information in the IDX practice management system.
4. Files claims, demands statements, and conducts account reviews, to ensure accurate account maintenance.
5. Recommends and posts account adjustments, within prescribed dollar limits, and initiates refunds as warranted.
6. Assists patients with the establishment of a reasonable budget plan to address self-pay balances.
7. Acquired skills in active listening, critical thinking, problem-solving, and learned tools for escalating irate customers in a friendly and patient manner.
8. Provides quality service to customers via phone in account activation, maintenance, billing, problem-solving, modification, enhancement and, when required, de-activation.

Experience

2-5 Years

Level

Junior

Education

Certification

Description :

1. Answering on average 50-80 incoming calls in a busy call center position from patients insurance companies with account related questions.
2. Working with the patient or insurance representative to resolve any discrepancies, complaints, collections, payment plans, and itemized invoicing.
3. Reviewing accounts for accuracy in demographic and insurance information, insurance adjustments, coding, and payments.
4. Receiving incoming correspondence for the billing department, sorting authorizations, denials, appeals, remits, and insurance-related questions and forward to the correct department.
5. Verifying and loaded insurance to accounts, checking for accuracy in subscriber and account information.
6. Informing our customers of the details of any of the promotions or discounts of the services provided and offered by the company.
7. Entering the correct ICD 10 codes, to bill the patient insurance correctly.
8. Identifying claims with coding errors to be reviewed and corrected, advising patients seeking.

Experience

0-2 Years

Level

Entry Level

Education

BA

Description :

1. Responsible for managing the accuracy of facility billing, private pay prescriptions, supplies, and equipment. Track and maintain the total accounts receivable for the facility and private pay.
2. Reviewing client billing statements and facility unbilled charges for correctness and accuracy of charges.
3. Mailing statements to long-term care facilities, patient homes, residents, or responsible parties.
4. Charting all account activity on systems, including any pay source changes.
5. Performing services in accordance to the company, state, and federal regulations (e. g. HIPAA).
6. Identifying and resolve patient billing complaints in a timely and efficient manner.
7. Taking patient and client payments for laboratory bills, speak with patients and clients in regards to laboratory bills, Update insurance information responsible party information, and credit card information.
8. Mastering a "call flow" for quick calls, while performing account research, providing accurate.
9. Frequently landed in the top performer lists for meeting and exceeding expectations on handle time, first call resolution, the voice of the customer surveys and quality assurance.

Experience

7-10 Years

Level

Senior

Education

BS