CUSTOMER SERVICE / TPL REPRESENTATIVE

Division:Eskenazi Health  

Sub-Division: Hospital  

Req ID:  23065 

 

Schedule: Full Time 

Shift: Days 

 

Eskenazi Health serves as the public hospital division of the Health & Hospital Corporation of Marion County. Physicians provide a comprehensive range of primary and specialty care services at the 333-bed hospital and outpatient facilities both on and off of the Eskenazi Health downtown campus including at a network of Eskenazi Health Center sites located throughout Indianapolis.

 

 

 

FLSA Status

Non-Exempt

Job Role Summary

The Customer Service/TPL Representative directly interacts with patients, family members, other guests and customers in a professional manner and achieves a high level of satisfaction with these individuals relative to address of their needs, concerns, questions, and resolution of account balances.

Essential Functions and Responsibilities

• Proactively contributes to Eskenazi Health mission: Advocate, Care, Teach and Serve with special emphasis on the vulnerable population of Marion County. Models Eskenazi Health values
• Stays current within profession as well as hospital/unit/department policies
• Complies with hospital policies and regulatory standards, including the Joint Commission, OSHA, Medicare, etc.
• Acts independently to resolve operational concerns, seeking guidance when necessary
• Directly interacts with patients, family members, third party payers, attorneys, other guests and customers in a professional manner and achieves a high level of satisfaction with these individuals relative to address of their needs, concerns, questions, and resolution of account balances.
• Updates system demographics, insurance information, patient issues/comments and responses to ensure a complete audit track within three working days
• Proactively responds to problem solving issues through interdepartmental/external department communications relative to system procedure errors, i.e. coding, registration and accounting issues.
• Ascertains that all accounts for callers and walk-ins are addressed by searching systems for multiple accounts, reviewing them with the customer and providing him or her with status information regarding each unresolved account. Provides management with information and documentation; assists patients with concerns related to registration, collection; documents trends, concerns, and issues.
• Answers phone calls within company guidelines, answers questions regarding patient accounting, and when necessary, routes callers to appropriate destination. Answers the phone in a maximum (3) rings
• Educates self-pay patients with options for account resolution and advises patients of potential bad debt status of account.
• Establishes payment arrangements for patients and communicates agreements; serves as a resource person to clinical departments for debt status of patients.
• Orders re-bills and obtains itemizations for patients and other customers as needed.
• Serves as liaison between medical and support staff regarding billing and collection issues and patients' medical information.
• Researches and reviews data to ensure accuracy of accounts and balances.

• Processes, receives, and balances payments while maintaining integrity of financial data presented for payment
• Initiates liens, amendments, and releases in a timely manner and as indicated for accounts analyzed, so as to properly record hospital liens with the State Recorders' office.
• Follows-up and works liability accounts (lien & LOP accts), by calling attorneys (or patients) and updating notes on accounts, taking the appropriate actions to resolve accounts or to move them along to the next step and resolution.
• Responsible for, or is back-up to:
  • Appropriately recording liens with the State Recorders office on a weekly basis
  • Filing of all lien and bankruptcy related paperwork in a timely manner
  • Process according to established procedures all bankruptcy notices, within 5 business days of receipt of notices
  • Receiving checks for liability settlements and judgments, and for copies of bills, handling according to established procedure
  • Performing all 'cancellations' of bad debt accounts within patient accounting systems according to established procedure
  • Serving as liaison between hospital and each collection agency
  • Analyzing accounts that may involve liability and flag appropriate accounts for follow up to determine if it is a liability case
  • Working weekly accounts with an external cause diagnosis, for potential liability cases
  • Completes special research projects as requested by management
  • Maintains pro