Patient Accounts Customer Services Representative I - York - Days

Full time (40 hours weekly)
First 90 days would be onsite Mon-Thurs 8:00a-4:30p, Friday 7:30a-4:00p
After 90-day probationary period, two days of 8:00a-4:30p, two days of 9:00a-5:30p, and Friday's 7:30a-4:00p

General Summary

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

Remote Work Capable

Essential Functions:

• Ensures accurate financial and biographical information has been obtained and properly entered into the appropriate records and systems according to HIPAA and privacy standards.
• 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.
• Reviews accounts and coordinates with appropriate departments on accounts requiring precertification, preauthorization, referral forms and other requirements related to managed care.
• Takes appropriate corrective action to include: follow up, rebilling, and/or adjustments according to policy and governmental regulations.
• Answers all inquiries regarding patient accounts.
• Interprets and explains to patients or authorized representatives the charges, services, and hospital policy regarding payment of bills.
• Resolves billing problems and/or receives insurance updates.
• Processes and distributes copies of billings as required.
• Enters data electronically into the patient’s account, verifies account balances, reviews electronic insurance remits and patient payments, processes electronic payments over the phone.

Common Expectations:

• Types and/or compiles correspondence and reports, photocopies information, files information, answers the telephone, takes messages and directs calls.
• Prepares and maintains records of patient charges.
• Maintains appropriate records, reports, and files as required.
• Maintains established policies and procedures, objectives, quality assessment, safety, environmental and infection control standards.
• Participates in educational programs and inservice meetings.
• Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.

Qualifications

Minimum Education:

• High School Diploma or GED Required

Work Experience:

• Less than 1 year 3 - 6 months Required

Knowledge, Skills, and Abilities:

• Excellent communication and interpersonal skills

Benefits Offered:

• Comprehensive health benefits
• Retirement savings plan
• Paid time off (PTO)
• Education assistance
• Financial education and support, including DailyPay
• Expanded Paid Parental Leave

For additional details: Benefits & Incentives | WellSpan Careers (joinwellspan.org)

WellSpan Health’s vision is to reimagine healthcare through the delivery of comprehensive, equitable health and wellness solutions throughout our continuum of care. As an integrated delivery system focused on leading in value-based care, we encompass more than 2,300 employed providers, 250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region’s largest and one of the best in the nation. With a team 23,000 strong, WellSpan experts provide a range of services, from wellness and employer services solutions to advanced care for complex medical and behavioral conditions. Our clinically integrated network of 3,000 aligned physicians and advanced practice providers is dedicated to providing the highest quality and safety, inspiring our patients and communities to be their healthiest.