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Catholic Health Services SBO Representative in Melville, New York

Overview Catholic Health is one of Long Island’s finest health and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island. At Catholic Health, our primary focus is the way we treat and serve our communities. We work collaboratively to provide compassionate care and utilize evidence based practice to improve outcomes – to every patient, every time. We are committed to caring for Long Island. Be a part of our team of healthcare heroes and discover why Catholic Health was named Long Island's Top Workplace! Job Details Under the direction of the Customer Service & Patient Payments Supervisor, the Customer Service Representative will ensure customer satisfaction by providing timely and accurate information when responding to patient inquiries. The Customer Service Representative may also respond to and engage with outside vendors who provide customer services to patients. The vendor liaison reports to the SBO Supervisor and oversees bad debt, statement processing, and agency manager vendor relationship. Troubleshoots vendor integration issues with IT, and vendor staff. The vendor liaison monitors vendor performance, and serves as the primary contact for all vendor-related issues. Responsibilities: Resolves customer inquiries and complaints via phone, email, electronic work queues, reports, etc. by performing research and identifying solutions to customer issues. Takes and evaluates customer service escalations from outside vendors including researching disputed balances, write-off requests, patient payment plan issues, etc. Receives and processes inbound patient self-pay correspondence. Initiates outbound and receives inbound patient phone calls to investigate issues or verify account information. Documents information such as patient payment information, addresses, phone numbers, and account follow-up information in an accurate and detailed manner. Utilizes various software and technology to manage workloads and telephone calls. Manages large amounts of inbound and outbound calls and other assigned work in a timely manner. Cooperates and initiates communication with other organizational departments as necessary to resolve patient issues and complaints. Serves as a point of contact, as assigned, for third party vendor-related issues, including bad debt, early-out, statement processing, and other customer service-related vendors. Monitors vendor performance, as assigned, and ensures vendors meet or exceed organizational performance standards. Cooperates with vendors to communicate issues and goals, fostering cooperation necessary to achieve desired results. Requirements: High School diploma or equivalent required with a minimum of two years' experience in healthcare billing, healthcare customer service, or a related field. Associate's or Bachelor's degree preferred. Basic computer skills and some experience in data entry, as well as ability to build fluency in multiple healthcare technology and accounts receivable systems. Microsoft Office proficiency Strong knowledge of medical insurance and healthcare billing, including knowledge of and adherence to HIPPA regulations, knowledge of third party operations, and knowledge of CPT, ICD10 utilized in medical billing and medical billing terminology. Ability to set priorities and work independently, exercising good judgment, and multi-task in a high stress, fast-paced service environment with patients, patient's family, insurance carriers, and leadership Ability to comply with procedural guidelines and instructions and to solicit assistance when situations arise that deviate from the norm. Excellent verbal and written communications skills in order to interact with all levels of customers both internal and external. Excellent customer service skills to work effectively with insurance carriers, patients, and colleagues. Ability to maintain professional conduct and good working relationships with staff, management, and payers, including handling upset or disgruntled callers. Analytical problem-solving skills and an attention to detail. Industry certification (AHIMA, HFMA, AAPC, etc.) preferred EMR experience (Epic preferred) Salary Range USD $21.00 - USD $27.00 /Hr. This range serves as a good faith estimate and actual pay will encompass a number of factors, including a candidate’s qualifications, skills, competencies and experience. The salary range or rate listed does not include any bonuses/incentive, or other forms of compensation that may be applicable to this job and it does not include the value of benefits. At Catholic Health, we believe in a people-first approach. In addition to the estimated base pay provided, Catholic Health offers generous benefits packages, generous tuition assistance, a defined benefit pension plan, and a culture that supports professional and educational growth.

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