Overview
Are you looking for a purposeful career that will make a difference in the patient community? At CCS, our approach to at-home patient care is redefining chronic care management. We are seeking individuals that will thrive in a patient-centric dynamic environment. If you are an attentive listener, fast-thinker, and problem-solver, with the ability to relate to different people, you are a match for CCS.
Position Summary : Primary responsibilities include responding to patient phone calls regarding billing inquiries. Effectively completes a variety of goal-oriented departmental tasks that will require adaptability, attention to detail and efficiency. The successful candidate will report directly to the VP, Ops & Finance. The position location is flexible, but the placement must be willing to travel frequently.
Alaska, California, Colorado, Delaware, Hawaii, Idaho, Maine, Montana, Nevada, New Hampshire, New York, North Dakota, Rhode Island, South Dakota, Vermont, Washington, Wyoming, Illinois residents are not eligible.
Responsibilities
- Processes in-bound calls regarding billing inquiries and to explain insurance benefits, account balances and review / reconcile / adjust account
- Scan all incoming mail / correspondence into patient files
- Establishes patient payment schedule
- Obtains verbal authorizations for credit card payments
- Completes liability of waiver forms for manager review and signature
- Focuses on reducing delinquent accounts and achieving maximum collections from patients
- Works with CCS AP staff to obtain manufacturer's invoices and provide them to external RCM group
- Assist the handling of our automated patient billing platform
- Assist in the handling of payments received from secondary payers
- Maintains a high degree of confidentiality at all times due to access to sensitive information
- Maintains regular, predictable, consistent attendance and is flexible to meet the needs of the department
- Follows all Medicare, Medicaid, HIPAA, and Private Insurance regulations and requirements
- Abides by all regulations, policies, procedures and standards
Desired Outcomes
Exercises appropriate cost control measuresMaintains positive internal and external customer service relationshipsMaintains open lines of communicationPlans and organizes work effectively and ensures its completionMeets all productivity requirementsDemonstrates team behavior and promotes a team-oriented environmentActively participates in Continuous Quality ImprovementRepresents the organization professionally at all timesQualifications
High school diploma or GED equivalent and one year call center experience or equivalent combination of education and experienceOne year customer service or medical billing experience required. Preferably with a DME provider.Proficient in Microsoft Outlook, Word, Excel, PowerPoint and computer literacyKnowledge of government and commercial insurance payers as it relates to documentation of claims that are required before submissionAbility to understand Medical Records documents such as safety rules, operating and maintenance instructions, and procedure manualsAbility to read and interpret Explanation of Benefit forms provided by payorsPosition may require evening and weekend availabilityStrong attention to detail, multi-tasking, communication, and organizational skills are essentialDemonstrated ability to accurately perform data entry and pay close attention to detailValues
Certainty : The lives of the individuals we serve depend on our ability to execute. We commit to doing this every day.
Use appropriate methods and a flexible interpersonal style to help build a cohesive and collaborative team based on a foundation of trust and transparency. Deliver what you commit to.Compassion : We understand the burdens of patients and their loved ones and channel this into a relentless pursuit of customer satisfaction in every part of our business.
Ensure that the patient is the driving force behind business decisions, implementing service practices that meet needs of both the patient and the organization. Treat others the way you want to be treated.Advancement : We are endlessly looking for ways to progress and become more innovative in all things we do.
Encourage innovative approaches for addressing opportunities and facilitating change, driving cross-functional alignment to accomplish goals. Speak the truth.