Customer Service Representative Job at UT Southwestern
Customer Services Representative, Full Time – CUH
Why UT Southwestern?
With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the #1 hospital in Dallas-Fort Worth for the fifth consecutive year, we invite you to continue your healthcare career with us at William P. Clements Jr. University Hospital. You’ll discover a culture of teamwork, professionalism, and consistent opportunities for learning and advancement into leadership roles.
Job Summary
Customer Service responds to inbound inquiries from hospital staff for replenishment of supplies. Ensures that units are charged appropriately for the supplies as well as reverse charges for overstock or expired items.
Job Duties
Provides response to inbound claims inquiries from patients, physicians and other entities.
Assures all behavioral care inbound telephone claims calls are directed to this employee as first point of contact.
Provides back up relief for ACD telephone lines.
Works patient account, including but not limited to, adjustments on small balances, transfers credit balances to debit balances, changes FSC\'s on invoices to reflect different status, and/or requests monetary refunds.
Sets up accounts on budget plan.
Calls clinics for possible personal courtesy or incorrect entries on invoices.
Supplies patients with application for financial assistance.
Works directly with patients regarding their account.
Provides patients with copies of their statement and reviews them in detail.
Makes certain that patient and family member fully understands how to read statement.
Calls insurance companies for patients regarding non-payments and other pertinent information.
Files and re-files claims, requests EOB\'s from primary and secondary insurance companies and or appeal claims.
Acts as liaison between patients and follow up teams.
Registers and changes pertinent information in IDX system.
Registers patients and updates insurance/demographic information.
Assists clinics and patients with managed care information, which requires thorough understanding of managed care guidelines.
Records and receipts payments on account from walk-ins and credit card payments over phone.
Discusses accounts with walk-in patient as needed.
Reviews and processes patient correspondence.
Contacts departments for additional information or to resolve issues.
Follows up with insurance as needed.
Analyzes claim history to detect potential errors in processing.
Determines reasons for denials.
Responds to special requests for information.
Identifies trends in call type and makes recommendations to management.
Informs management of trends regarding statement and/or follow up issues.
Provides administrative support to department which includes word processing, mail distribution, copying, etc.
Provides support for claims processing backlog.
Manages all incoming calls and logs into problem tracking database.
Maintains problem tracking database.
Ensures customer problems receive proper attention and notifies management of problems that may require extra attention.
Researches, analyzes and responds to customer inquiries regarding mental health claims processing.
Develops, implements flexible innovative solutions.
Prepares and maintains departmental documentation as directed by management.
Performs other duties as assigned.
**Other Duties: Performs other duties as assigned.
Experience and Education
High School diploma or equivalent required.
Four (4) years experience in medical billing, customer service, claims processing or related field required.
OR Two (2) years of college and two (2) years experience as stated above is required.
Knowledge, Skills & Abilities
Communication, organizational and interpersonal skills.
Basic computer and office skills and use of paging system.
English language proficiency.
Compliance with the COVID-19 vaccine mandate enforced by the Centers for Medicare and Medicaid (CMS) is a requirement for this position. Federal law requires individuals holding this position to be fully vaccinated or have an approved exemption for certain medical, disability, or religious reasons. Individuals who do not meet CMS vaccination requirements are not eligible and should not apply for this position but are encouraged to apply for other non-healthcare positions at UT Southwestern for which they qualify.
To learn more about the benefits UT Southwestern offers visit https://www.utsouthwestern.edu/employees/hr-resources/
For COVID-19 vaccine information, applicants should visit https://www.utsouthwestern.edu/covid-19/about-virus-and-testing/cms-vaccine-requirements.html
For general COVID-19 information, applicants should visit https://www.utsouthwestern.edu/covid-19/work-on-campus/
This position is security-sensitive and subject to Texas Education Code §51.215, which authorizes UT Southwestern to obtain criminal history record information. UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. In accordance with federal and state law, the University prohibits unlawful discrimination, including harassment, on the basis of: race; color; religion; national origin; sex; including sexual harassment; age; disability; genetic information; citizenship status; and protected veteran status. In addition, it is UT Southwestern policy to prohibit discrimination on the basis of sexual orientation, gender identity, or gender expression.
Please Note :
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Why UT Southwestern?
With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the #1 hospital in Dallas-Fort Worth for the fifth consecutive year, we invite you to continue your healthcare career with us at William P. Clements Jr. University Hospital. You’ll discover a culture of teamwork, professionalism, and consistent opportunities for learning and advancement into leadership roles.
Job Summary
Customer Service responds to inbound inquiries from hospital staff for replenishment of supplies. Ensures that units are charged appropriately for the supplies as well as reverse charges for overstock or expired items.
Job Duties
Provides response to inbound claims inquiries from patients, physicians and other entities.
Assures all behavioral care inbound telephone claims calls are directed to this employee as first point of contact.
Provides back up relief for ACD telephone lines.
Works patient account, including but not limited to, adjustments on small balances, transfers credit balances to debit balances, changes FSC\'s on invoices to reflect different status, and/or requests monetary refunds.
Sets up accounts on budget plan.
Calls clinics for possible personal courtesy or incorrect entries on invoices.
Supplies patients with application for financial assistance.
Works directly with patients regarding their account.
Provides patients with copies of their statement and reviews them in detail.
Makes certain that patient and family member fully understands how to read statement.
Calls insurance companies for patients regarding non-payments and other pertinent information.
Files and re-files claims, requests EOB\'s from primary and secondary insurance companies and or appeal claims.
Acts as liaison between patients and follow up teams.
Registers and changes pertinent information in IDX system.
Registers patients and updates insurance/demographic information.
Assists clinics and patients with managed care information, which requires thorough understanding of managed care guidelines.
Records and receipts payments on account from walk-ins and credit card payments over phone.
Discusses accounts with walk-in patient as needed.
Reviews and processes patient correspondence.
Contacts departments for additional information or to resolve issues.
Follows up with insurance as needed.
Analyzes claim history to detect potential errors in processing.
Determines reasons for denials.
Responds to special requests for information.
Identifies trends in call type and makes recommendations to management.
Informs management of trends regarding statement and/or follow up issues.
Provides administrative support to department which includes word processing, mail distribution, copying, etc.
Provides support for claims processing backlog.
Manages all incoming calls and logs into problem tracking database.
Maintains problem tracking database.
Ensures customer problems receive proper attention and notifies management of problems that may require extra attention.
Researches, analyzes and responds to customer inquiries regarding mental health claims processing.
Develops, implements flexible innovative solutions.
Prepares and maintains departmental documentation as directed by management.
Performs other duties as assigned.
**Other Duties: Performs other duties as assigned.
Experience and Education
High School diploma or equivalent required.
Four (4) years experience in medical billing, customer service, claims processing or related field required.
OR Two (2) years of college and two (2) years experience as stated above is required.
Knowledge, Skills & Abilities
Communication, organizational and interpersonal skills.
Basic computer and office skills and use of paging system.
English language proficiency.
Compliance with the COVID-19 vaccine mandate enforced by the Centers for Medicare and Medicaid (CMS) is a requirement for this position. Federal law requires individuals holding this position to be fully vaccinated or have an approved exemption for certain medical, disability, or religious reasons. Individuals who do not meet CMS vaccination requirements are not eligible and should not apply for this position but are encouraged to apply for other non-healthcare positions at UT Southwestern for which they qualify.
To learn more about the benefits UT Southwestern offers visit https://www.utsouthwestern.edu/employees/hr-resources/
For COVID-19 vaccine information, applicants should visit https://www.utsouthwestern.edu/covid-19/about-virus-and-testing/cms-vaccine-requirements.html
For general COVID-19 information, applicants should visit https://www.utsouthwestern.edu/covid-19/work-on-campus/
This position is security-sensitive and subject to Texas Education Code §51.215, which authorizes UT Southwestern to obtain criminal history record information. UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. In accordance with federal and state law, the University prohibits unlawful discrimination, including harassment, on the basis of: race; color; religion; national origin; sex; including sexual harassment; age; disability; genetic information; citizenship status; and protected veteran status. In addition, it is UT Southwestern policy to prohibit discrimination on the basis of sexual orientation, gender identity, or gender expression.
Please Note :
caminobluff.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, caminobluff.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.