Customer Service Representative

PRIDE Health
US - Wisconsin - Wausau
October 27, 2024
Customer Services

Pride Health is hiring a Customer Service for one of its clients in Milwaukee, WL 53226.

This is a 3+ months contract with competitive pay and benefits.

Job Title- Customer Service

Location Milwaukee, WL

Length of assignment 3+ months

Pay Rate - $22-25/HR on w2.

Shift Monday - Friday 9:
00 am - 5 pm

Responsible for billing and follow-up of patient and client accounts based on working knowledge of regulations governing CPT codes, diagnosis codes, Medicare, Medicaid, managed care, and commercial insurance guidelines.
Research and resolve pending and unpaid laboratory claims to resolution.
Accurately interprets remittance advice regarding payments, adjustments, and patient responsibility ensuring payment amounts and patient billing are accurate.
Reviews Electronic Fund Transfers (EFTs) / insurance payments where applicable to ensure money is posted to the correct system.
Inputs patient, insurance, and claim information into billing systems.
Under the direction of Billing leadership, accurately works assigned work queues on billing systems, gathering missing or incomplete billing information when needed.
Responsible for claims follow-up.
Thoroughly researches reasons for denial, short payments, overpayments, recoupments, and refund requests to resolution.
Professionally answers incoming phone calls (i.e.
patients, clients, payers) providing accurate information regarding outstanding bills/invoices/claims or other reasons for inquiry.
It takes care of patient/client payments over the phone where applicable.
Communicate to customers if you need additional information or research time and follow up within an acceptable timeframe.
Has working knowledge of daily and payment reconciliation processes.
Batches incoming mail and handles patient/client/payer correspondence.

Skills:

4 years of insurance billing experience.
Working knowledge of medical billing practices such as contractual adjustments and cash posting is preferred.
Ability to independently resolve problems successfully on the phone with clients, patients, and internal departments.
Working knowledge of Epic is desirable.
Training expertise and experience preferred.

Benefits

Pride Global offers eligible employee's comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.

Equal Opportunity Employer

As a certified minority-owned business, Pride Global and its affiliates - including Russell Tobin, Pride Health, and Pride Now - are committed to creating a diverse environment and are proud to be an equal-opportunity employer.
All qualified applicants will receive consideration for employment without regard to race, colour, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, disability, age, veteran status, or other characteristics.

Read the full job description and apply online on the recuiter's web-site

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