Jobs

Description

Immediate need for a Customer Accounts Specialist-Medical Billing Position

located 100% onsite in Livermore, CA.

No remote, hybrid, or part-time candidates will be considered.

Work Hours: Monday–Friday, 7:30 AM – 4:00 PM PST

This role is part of our Revenue Cycle Management team.

The candidate will be responsible for:

• Handling inbound calls related to billing statement inquiries
• Following up on outstanding patient balances
• Interpreting EOBs (Explanation of Benefits)
• Resolving unpaid accounts efficiently while meeting quality and productivity standards

 

Required Skills:

• Strong medical billing and insurance knowledge
• Experience with customer service in a healthcare setting
• Ability to interpret EOBs
• Excellent communication and problem-solving skills

 

Position Overview:

• The position of Customer Accounts Specialist is within our Revenue Cycle Management located at Livermore, California.
• In this role, you will be responsible for handling inbound calls regarding questions on billing statements, and the follow-up of outstanding patient balances.
• Working knowledge of billing, insurance and interpreting EOB’s is mandatory. The representative will be tasked to resolve unpaid accounts in a timely and efficient manner while maintaining quality and production standards set for the position.

 

Responsibilities:

• Communicate with up to 50 patients each day through phone calls and emails in a professional and courteous manner.
• Handle a variety of inquiry categories including questions about patient statements, billing, and general questions.
• Helps reconcile patient accounts to ensure correctness of patient statements. Has a working knowledge of Medicaid and Medicare programs and commercial insurances
• Ability to interpret Explanations of Benefits or Remittance Advice (EOB or RA).
• Able to explain a billing statement and methodology.
• Maintains accurate and complete records concerning collection activity on all accounts according to company procedures.
• Process requests quickly, accurately, and consistently with general supervision
• Submit adjustment / refund requests if needed.
• Keeps management informed of areas of concern and problems identified.
• Assists in monthly closing by assuring all appropriate information is entered into the system.
• Process credit card payments.
• Monitors hardship applications.
• Process correspondence, as assigned.
• Performs other related duties as assigned.
• Follows all HIPAA guidelines.

 

Basic qualifications | education:

• High school graduate or equivalent required
• Strong verbal and written communication skills
• Knowledge of Revenue Cycle Customer Billing
• Excellent oral and written communication skills preferred
• Detail oriented with a focus on exceptional customer service
• Strong time management skills and ability to manage individual assignments
• Ability to work in a team environment
• Strong attention to detail
• Requires the ability to work with and maintain confidential information

 

Preferred qualifications:

• Secondary education or Medical Certification
• Experience in the healthcare industry preferred
• Knowledge of customer relationship management (CRM) tools and related analytics desired

 

Competencies:

• Experience with Microsoft Office - Word, Excel, PowerPoint required
• Familiarity with performance metrics and ability to meet identified targets required
• Strong customer service skills and professional demeanor required
• Working knowledge of HIPAA and the Affordable Care Act;
• Must have an aptitude for problem solving and staff coaching/training;
• Must be able to communicate both written and orally in a business professional manner;
• Must possess the ability to effectively present information in one-on-one and small group situations to customers and other employees
• Must possess the ability to work in an environment of multiple concurrent tasks and constant interruptions
• Analytical skills are required