Customer Services Specialist

POSITION SUMMARY

This position assists in the management of accounts receivable by counseling patients and/or family members on insurance options and payment options.   Incumbent contacts patients that have outstanding balances due to no insurance or insurance deductibles, and counsels these patients in regard to making arrangements for payment in full or payment arrangements.  With reimbursement contingent upon the proper billing and collection, it is the responsibility of the incumbent to have knowledge of all aspects of the accounts receivables process.  This position reviews all self-pay balances in the over 120 day aging bracket to determine if the criteria have been met to transfer to collection agency.  Prepares and reviews accounts to determine statement, payment and collection history.  Works collection report from largest balances down.  Coordinates with collection agency to verify balance and account information.  Maintains accurate account of payments and necessary insurance transfers. 

 

MINIMUM REQUIREMENTS

Education:

1. High School Graduate.
2. Special consideration will be given applicants possessing the following:
   1. Formal schooling or working knowledge of medical terminology.
   2. Working knowledge and proficiency in electronic processing in the following areas:  Blue Cross/Blue Shield, Medicare, Medical Assistance, commercial, and auto.
   3. Formal schooling or working knowledge of collection procedures for Act 6, Workers' Compensation, VA, and Champus.

Experience:

1. Minimum of two year's previous experience with public contact required.
2. Minimum of two year’s telephone collection work within a hospital or related field providing thorough knowledge of collection laws and / or two years of hospital collections or completion of a Medical Secretary program in lieu of experience is acceptable.

Knowledge, Skills, Abilities:

1. Knowledge and proficiency in the operation of PC procedures with emphasis on specific hospital collection applications, i.e., Medicare, Medical Assistance, and Blue Cross/Blue Shield.
2. Knowledge of the assigned third parties' billing requirements:
   1. Medicare
   2. Medicaid
   3. Blue Cross
   4. Commercial
   5. HMO
   6. MVA
   7. OVR
   8. MH/MR
   9. Worker's Compensation

License/Certification/Registration:

1. None required.

SUPERVISION RECEIVED

Receives general supervision from the Manager, Revenue Cycle and Supervisor, Patient Collections.

SUPERVISION GIVEN

None.



ESSENTIAL FUNCTIONS

 

NON-ESSENTIAL FUNCTIONS

Why Mount Nittany Health?
At Mount Nittany Health, we provide high-quality patient care with a unique combination of the latest in clinical technology and compassionate medical professionals. We are committed to improving both the quality and availability of healthcare in our region and seek to hire only the best to support the communities we serve.