Customer Service Rep - Santa Ana, CA

KPC GLOBAL MEDICAL CENTERS INC.

Santa Ana, CAFull-time

Behavioral Health Market Context

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Qualifications

  • •High school diploma or combination of relevant experience and education required
  • •Previous customer service experience required
  • •Outstanding communication, interpersonal, mulit-tasking and analytical skills
  • •The ability work well with minimal supervision in a high-volume environment
  • •Proven ability to remain composed and professionally under difficult situations with a strong team approach
  • •PC proficiency with various Windows applications
  • •Knowledge of phone systems and technology
  • •Skill in recognizing and responding to emergency/high-priority situations
  • •Body Positions: Sitting and standing for prolonged periods
  • •Body Movements: Arm and hand dexterity
  • •Body Senses: Must have command of close and distant sight, color perception and hearing
  • •Strength: Ability to lift and move up to 25-pounds
  • •9 more items(s)

Responsibilities

  • •Answers telephones, routes callers, takes messages and provides routine information to callers
  • •Maintains established departmental policies and procedures, objectives, quality improvement program, safety, environmental and infection control standards
  • •Operates microfilm equipment in retrieving file data
  • •Interprets insurance program procedures and provisions to resolve routine patient billing inquires and problems
  • •Counsels patients requiring external financial assistance, including recommending third parties
  • •Answers all inquiries regarding patient accounts
  • •Researches credit balance accounts, refunds overpayments to patient, guarantor or third party payer
  • •Secures information relative to patient’s financial status or insurance coverage
  • •May complete insurance forms, verify insurance coverage, and secure other information if needed
  • •Prepares appropriate information for billing personnel
  • •Answers telephones, routes callers, takes messages and provides routine information to callers
  • •Responds promptly to inquiries and requests
  • •Negotiates contractual payment plans with patients as authorized
  • •Performs a variety of routine typing and clerical duties as necessary
  • •Receives complaints of poor or inadequate service and determines action to be taken
  • •Traces missing files
  • •Attends meetings as required
  • •Other duties as assigned
  • •Work in an office, where the climate is controlled
  • •Occasional travel between medical groups and/or hospitals when necessary
  • •Category I – Position includes tasks that involve exposure to Blood borne Pathogens
  • •18 more items(s)
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