York, PA | Clerical and Administrative | Tracking Code: 90239

Customer Service Specialist I - Day

Nicole Eckert
Talent Acquisition Consultant

Schedule & Location:

Full-time: Days; Monday-Thursday 8:00-4:30, or 9:00-5:30 (two days of each shift), and Friday 7:30-4:00

Hybrid remote work opportunity: On site training with potential to become fully remote 

Job Description:

Works under direct supervision. Represents the System in a professional manner, using good customer service practices in the performance of the following duties: answers calls in a call center, phone queue environment to assist callers with various requests, concerns, and inquiries. Responsible for processing payments, establishing payment plans, adding/billing insurance information, and maintenance of patient accounts. Performs a variety of functions including, but not limited to, account follow-up, answering inquiries, resolving problems and interacting with patients, authorized representatives, and insurance companies to achieve payment of accounts in accordance with current government and payer regulations.

 

Duties and Responsibilities

  1. Ensures accurate financial and biographical information has been obtained and properly entered into the appropriate records and systems according to HIPAA and privacy standards.
  2. Performs various functions to complete and expedite the billing process including, but not limited to, recording patient identification data, investigating charges, correcting and updating data, preparing the claim to bill, and updating computer functions.
  3. Reviews accounts and coordinates with appropriate departments on accounts requiring precertification, preauthorization, referral forms and other requirements related to managed care.
  4. Takes appropriate corrective action to include: follow up, rebilling, and/or adjustments according to policy and governmental regulations.
  5. Answers all inquiries regarding patient accounts.
  6. Interprets and explains to patients or authorized representatives the charges, services, and hospital policy regarding payment of bills.
  7. Resolves billing problems and/or receives insurance updates.
  8. Processes and distributes copies of billings as required.
  9. Enters data electronically into the patient’s account, verifies account balances, reviews electronic insurance remits and patient payments, processes electronic payments over the phone.

 

Qualifications

  • Minimum Experience:
    • 3 - 6 months
  • Minimum Education:
    • High School or G.E.D.
  • Physical Demands:
    • Mostly sedentary work
    • Occasional prolonged standing/walking
  • Skills:
    • Excellent communication and interpersonal skills

#remote


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Join our team of 20,000 strong working as one. Teamwork, collaboration, partnership—WellSpan Health is an integrated system designed to work as one to build healthier, stronger communities throughout central Pennsylvania and northern Maryland. We are committed to transforming the health of the communities we serve and to educating the next generation of clinicians, staff and leaders.

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