Role Description
Under general supervision and following established practices, policies, and guidelines, provides patient relations support to Patient Financial Services, performing duties which include:
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Identifying, analyzing, resolving and responding to customer inquiries, concerns and issues.
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Following up on accounts to ensure payment and resolution.
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Working independently with strong customer service skills.
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Deescalating issues quickly and effectively.
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Understanding, interpreting and explaining payor contracts and CSMC billing and collections policy and practices.
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Cross-training in other revenue cycle functions and providing back-up coverage.
Additional responsibilities include:
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Applying detailed knowledge of and following all hospital and department policies and procedures.
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Demonstrating detailed knowledge of Cedars-Sinaiβs core patient accounting systems and/or department specific systems.
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Effectively monitoring assigned work queues and workload.
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Taking initiative on issues and/or problems by advancing them to the supervisor.
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Adhering to documentation standards of the department.
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Completing all necessary research and account follow-up activities to resolve inquiries and/or customer complaints.
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Responding to patient, insurance company and other authorized third-party inquiries.
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Negotiating and documenting payment plans within established policies.
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Achieving timely and accurate account collection for hospital and professional services.
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Initiating collection calls to patients and insurance companies to collect on unresolved accounts.
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Maintaining A/R per department protocol.
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Reviewing accounts on a continuing basis and referring uncollectible accounts to collection agency or attorney.
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Ensuring account is routed to appropriate work queue for approval.
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Responding timely, effectively, and appropriately to deliverables.
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Sharing knowledge, time, and expertise to assist other members of the team.
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Ensuring practices and procedures are inclusive of interpersonal and cultural diversity.
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Identifying and responding appropriately to both internal and external customer needs using available resources.
*Approved Remote States: Arizona, California, Colorado, Florida, Georgia, Minnesota, Nevada, Oregon, Texas*
Qualifications
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High School Diploma/GED required.
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Associate degree in business administration or another related major or college level courses in finance, business, or health insurance preferred.
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A minimum of 1 year of hospital billing or professional billing and/or collection experience with customer service and call center experience required.
Benefits
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Outstanding employee benefits including health and dental insurance.
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Paid vacation.
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403(b) retirement plan.
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Commitment to creating a dynamic, inclusive environment that fuels innovation.