Patient Contact Center Representative
Schumacher Group: Business Opportunities - Dallas, TX

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Provide excellent customer service to patients in an inbound call center. Working with the patient to resolve their account and answer any questions they may have.

Job Responsibilities
  • Maintain patient confidentiality by verifying HIPAA.
  • Communicate in a respectful and courteous manner at all times.
  • Respond to questions and offer solutions to resolve patient accounts.
  • Work with the caller to provide a thorough and complete understanding about: $$
    • The billing process $$
    • Co-payments, coinsurance and deductibles $$
    • Non-covered charges $$
    • Explanations of Benefits and Personal Health Statements $$
    • Payments to the subscriber
  • Collect outstanding balances via credit card or electronic check.
  • Place callers on budget plans
  • Recall accounts from collections – when required
  • Document complaints thoroughly
  • Verify and update patient accounts with correct billing, emergency contact and insurance information.
  • Reply to emails
  • Be punctual and productively work entire shift.
  • Limit unscheduled absences.
  • Provide feedback to supervisor about types of calls received
  • Assist in working patient correspondence when needed
  • Actively participate in meetings and educational programs in an effort to improve both individual and team quality and effectiveness.
  • All other duties as assigned.

Educational Qualifications
  • High School Education or GED

Professional Qualifications
  • Proficient computer knowledge
  • Ability to work equally well individually and in a team environment.
  • Excellent written and verbal communication skills.

Previous Experience
  • One year experience in a fast-paced call center environment
  • One year of customer service experience

Special Skills
  • Experience with GE Centrictiy Business preferred but not required
  • Understanding of how to interpret EOBs and PHS (Explanation of Benefits and Personal Health Statements)
  • Understanding of how various insurance companies process claims in and out of network.
  • Quick Learner