Transformant Healthcare Solutions

Compensation

Full Description

Customer Support Services Representative III is responsible for courteously answering and routing business office patient account phone calls to the appropriate individuals within the company. Assist patients with their account questions and any questions pertaining to the THS business office. Additional responsibilities will include processing electronic insurance claims, along with generating and analyzing custom claims reports. Our Customer Support Services Representatives are responsible for the processing of insurance claims for secondary payers and processing credit card transactions and posting them to patient accounts. At OrthoCarolina, our team is our greatest asset and the foundation of our success. We are a diverse group of individuals, accountable to each other to uphold the standards of excellence and promote an environment of teamwork throughout the organization. OrthoCarolina has 43 unique care locations with over 1300 professionals who share a common goal to make lives better. Our employees are eligible for a full spectrum of benefits including paid company holidays, wellness programs, and tuition reimbursement. To learn more about Team OC please visit https://www.orthocarolina.com/about-us We are seeking a Customer Service Support IIIto work with our team in the OrthoCarolina Business Office. This position is a hybrid schedule with rotating days in the office depending on department needs. This position assists patients with their account questions and any questions pertaining to the business office. Additional responsibilities will include processing electronic insurance claims, along with generating and analyzing custom claims reports. Our Customer Support Services Representatives are responsible for the processing of insurance claims for secondary payers and processing credit card transactions and posting them to patient accounts. Essential Functions: Insurance Analysis Reprocesses corrected and voided claims to all insurance companies. Perform final analysis of all Veteran Affairs, Davidson College, Community Care, Physician Reach out and Vocational Rehab accounts before month end. Patient Research Ability to handle specialized escalated call related to financial accounts to include, contacting insurance, patients, vendors and any other related party to resolve the issue. Review all personal credits from task menu and prepare for processing. Process and prepare all personal refund reports and upload to Wells Fargo Portal daily. Collection Analysis Formulate and establish adequate payment arrangements within Centricity for Main locations and Surgery Center. Construct and maintain auto- drafts for Surgery Center patients on a monthly basis. Responsible for posting and reconciling the daily payment report file from Wells Fargo. Employee TypeRegular QualificationsSkillsEducationA.A, A.S, B.A., B.S., High School (Required)CertificationsLanguageWork ExperienceAdministrative Experience, Customer Service Experience, Healthcare Experience