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Job Details

Billing Customer Service Representative - Call Center (1.0 FTE)

  2025-02-19     St. Peter's Health     Helena,MT  
Description:

  • Project a positive and helpful demeanor while working with patients, visitors, and staff.

  • Collect appropriate deposit, deductible and/or co-insurance amounts from patient/guarantor at pre-admit, admit, in house or at discharge.

  • Complete insured and uninsured patient estimates upon request.

  • Evaluate guarantor financial status, previous account information, eligibility tools, employment history, and all other income verification documentation, to determine the most feasible method of payment.

  • Gather and assess financial data to help determine patient eligibility for Medicaid, SSI, charity and other financial assistance programs while working cohesively with associated vendors (Such as a Medical Advocate).

  • Responsible for timely documentation of all pertinent information on the patient account.

  • Responsible for evaluating, tracking, and logging all patient assistance applications and HIPAA release of information forms

  • Maintain knowledge of resources available both inside St Peter's and outside agencies to aid with patient issues.

  • Handle all incoming customer service questions to identify needs and issues. Including but not limited to charge explanation, relaying/explaining insurance activity, offering patient assistance and setting up payment plans.

  • Makes outbound calls to set up payment arrangements and follow up on delinquent accounts.

  • Manages accounts needing to be transferred to outside collections agencies

  • Processes patient correspondence, queries and disputes from our collection agencies

  • When needed with go to court proceedings to represent the hospital in collections of debts.

  • Maintain compliance with state and federal regulations as they relate to Patient Financial Services.

  • Responds to all Smart Sheet items assigned to them within 2-7 business days.

  • Logs all unresolved issues and refers to them to the business office management team.

  • Responsible for working daily inpatient uninsured lists timely. Including but not limited to patient assistance screening and getting ABN's signed

  • Reconciles credit card transactions, daily cash drawer reconciliation. Post and deposits client billing payments from other departments.

  • Reports trending call issues to the QA Coordinator.


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