Business Office Customer Service Representative
Location: Pearland Administrative Office
Department: Bussiness Office - Cust Service & Collections
Job Type: Full Time
Kelsey-Seybold Clinic. Your Doctors for Life.
Since 1949, Kelsey-Seybold Clinic has served its patients with one goal in mind – combine the expertise of physicians in a variety of medical specialties, with the close personal care of a family doctor. Kelsey-Seybold is Houston’s largest community-based physician group, caring for more than 400,000 patients. With 21 clinic locations, we are growing to meet the health care needs of our diverse patient population. Our mission is to provide our team members with exceptional opportunities for professional and personal growth.
Under the supervision of Customer Service Supervisor, employee answers all patient telephone inquiries regarding patient accounts in reference to Clinic billing, insurance information, collection accounts, and general patient concerns. Must maintain effective communication with all customers both internal and external including co-workers. Provides clear and grammatically correct written responses to patient communications as required. Employee works closely with the team leads and supervisor to address issues and identify problems. Employee must have the ability to plan and organize their own work to ensure timely responses, correctly document findings and communication in the patient’s account while meeting department standards for quality and productivity. Ability to work independently and as a part of a team is required. Employee’s goal is to answer patient inquires in one call whenever possible.
JOB QUALIFICATIONS: (A = minimum; B = preferred)
A. High School diploma or GED
B. Associates Degree or Billing and Coding Certificate
A. 3 year’s experience in a health care Call Center or medical insurance environment.
A. Knowledge of insurance billing and KSC contracted health plans’ rules, regulations and medical policies
Basic knowledge of medical terminology, ICD10 and CPT coding.
Ability to navigate and use a variety of software applications and on line resources.
Analytical skills to rapidly evaluate simple patient billing questions and resolve on the first call, or to route complex problems to the appropriate party for follow-up action and resolution.
B. Computer skills to include basic MS Word & Excel
A. Excellent communication and telephone etiquette, problem solving and active listening skills.
Clear and grammatically correct written communications.
B. Spanish speaker