Billing and Customer Service Representative Associate - Full Time - Days

Job Description

The Customer Service Representative - Billing is responsible for managing billing related issues for the Laboratories Outreach and in-patient businesses. This includes managing the billing work queues, handling rejected claims and interacting with the hospital's patient billing personnel to resolve billing complaints and issues.


Manages the laboratory assigned billing work queues to insure all billing issues are resolved within a time frame that enables the hospital and laboratory to collect all submitted claim

Manages billing related calls for client's patients or internal customers. Completes all follow-up actions identified during call including, but not limited to: 1) updating all accounts with corrected demographic and insurance information, 2) filing/re-filing appropriate insurance claims, 3) preparation and distribution of credits, adjustments, write-offs, or refunds to appropriate parties, 4) makes outgoing calls as needed to insurance companies, locations, and other professional, 5) submits appropriately authorized to release materials to third parties. All above actions to be completed during assigned off-telephone follow-up time.

Works reports of rejected claims from payers, keeping current on a monthly basis. Makes necessary corrections, rebills, and documents account as appropriate. Adheres to all applicable federal, state, payer and department rules.

Works as a customer service representative, non technical when required to provide support to the department

Assists the Outreach Manager as needed

Maintains currency in the field through participation in continuing education opportunities.



Please describe any specialized knowledge or skills which are REQUIRED to perform the position duties. Do not list personal credentials of the current job holder that would not be required if the job were being filled. List any special education required for this position.

EDUCATION: High School Diploma or equivalent. College degree preferred.

YEARS OF EXPERIENCE: prior experience in medical billing and/or customer service preferred.

REQUIRED SKILLS AND KNOWLEDGE: Good math, time management, organizational, and planning skills required. Excellent written and oral communications skills required. Computer experience including Microsoft Office required. The ability to effectively multi-task in a fast-paced environment is required. The ability to work effectively both independently and as part of a team is required. Analytical skills enabling the individual to identify patterns of customer service issues and suggest potential resolutions are required.



About Us

For more than 130 years, The Christ Hospital been the beacon for exceptional healthcare in the Greater Cincinnati community. We're industry pioneers, always pushing the boundaries and reimagining the future of healthcare.

Our culture promotes collaboration, diversity and innovation. Together, as a team, we work tirelessly to enhance healthcare quality, accessibility and safety.