Customer Service Representative I - Central Billing Office (las Vegas, NV)

Customer Service Representative I - Central Billing Office

Finance/Accounting/Billing

Las Vegas, NV

ID: 1147219_RR00108072

Full-Time/Regular

Position Summary: We have an exciting opportunity to join our team as a Customer Service Representative I. Act as a primary contact for NYU Langone patients who have questions about their balances, benefits, and insurance. Answer phone calls and/or electronic messages and follow-up on issues which could include submitting bills, calling insurance, correcting information, making outbound calls to patients, and entering detailed information in the billing system as assigned by management. Follow established protocols/scripts and handle issues in prescribed timelines but use independent judgement to resolve patient inquiries to maintain high-levels of patient satisfaction. The representative will establish and maintain effective relationships with patients and their families via active listening, empathy, rapport, courtesy and professionalism. The candidate will also work closely with customer service representatives to assist with daily operations.

Job Responsibilities:

• Perform other related duties as assigned.
• Perform billing tasks assigned by management which includes answering calls, logging call data into Customer Relationship Management (CRM) software, entering data, making outbound calls to patients and following-up on open issues, processes credit card payments, and/or other related responsibilities.
• Provide input on system edits, processes, policies, and billing procedures to ensure that we maintain high-levels of patient satisfaction and reduced call volume.
• Perform daily tasks in assigned work queues and according to manager assignments.
• Identify payer and provider credentialing issues and address them with management.
• Follow workflows provided in training classes and request additional training, management assistance, and medical coding expertise as needed.
• Responsible for assisting the Customer Service Representative(s) handle complex issues, and be able to escalate / deescalate as necessary
• Utilize CBO Pathways and resources guide to determine the actions needed to resolve patient balances and/or questions
• Enter account notes using standard formatting in Epic CRM and/or other systems.
• Review unpaid balances and unresolved patient inquiries and make outbound calls to patients following established protocols.
• Ensure that items in assigned work queue(s) are resolved within required timeframes using payer website, billing systems, and CBO pathways.
• Adhere to general practices, operational policies and procedures, FGP guidelines on compliance issues and patient confidentiality, and regulatory requirements.
• Communicate with providers, patients, coders, collection agencies, or other responsible persons to ensure that claims are correctly processed by third party payers
• Work with management to develop processes and workflows to improve how we can better service patients.
• Cross cover other areas in the office as assigned by management including Accounts Receivable/Denials or Authorizations.
• Responsible to review accounts to identify billing discrepancies.
• Maintains a positive relationship with other teams within the central billing office and customer service representatives.
• Participate in workgroups and meetings. Attend all required training classes.
• Read and apply policies and procedures to make appropriate decisions.
• Coordinate functions and work cooperatively with others.

Minimum Qualifications: To qualify you must have a High School Diploma or GED. Experience in customer service, medical billing, accounts receivable, insurance, or related duties; Knowledge of CPT and ICD10 utilized in medical billing; English usage, grammar and spelling; basic math; 1 years experience in a similar role.

Preferred Qualifications: Strong critical thinking and effective listening skills Excellent interpersonal, oral and written communication skills Epic systems experience preferred Microsoft Office experience preferred Strong PC skills preferred Foreign language preferred Recent experience in a major inbound call center preferred Some knowledge of CPT and ICD10 preferred Some knowledge of Healthcare revenue cycle / professional billing preferred Professional demeanor and positive attitude required Willingness to work a flexible schedule required Team Oriented required Adaptable to change Self-control and patience Strong Time management skills Ability to operate under stressful conditions

Qualified candidates must be able to effectively communicate with all levels of the organization. NYU Langone Nevada provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents. At NYU Langone Health, we are committed to supporting our workforce and their loved ones with a comprehensive benefits and wellness package. Our offerings provide a robust support system for any stage of life, whether it's developing your career, starting a family, or saving for retirement. The support employees receive goes beyond a standard benefit offering, where employees have access to financial security benefits, a generous time-off program and employee resources groups for peer support. Additionally, all employees have access to our holistic employee wellness program, which focuses on seven key areas of well-being: physical, mental, nutritional, sleep, social, financial, and preventive care. The benefits and wellness package is designed to allow you to focus on what truly matters. Join us and experience the extensive resources and services designed to enhance your overall quality of life for you and your family. NYU Langone Nevada is an equal opportunity employer and committed to inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration.