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Job Opening details:-
Company Name :- St. Luke’s Hospital
Position Name :- CUSTOMER SERVICE SPECIALIST- WORK FROM HOME OPTIONS
Company Location :- Chesterfield, MO
Job Category : Data Entry jobs
Full Job Description :-
Posting Details: Call Center Position- Work from home options. Work from home once on-site training at our Chesterfield, MO campus is complete. Description:
Answers patient and/or third party inquiries into the status of account, coverage and insurance questions. Enters orders for tests/procedures in Cerner as documented on the physician’s order and/or department schedule. Collects co-payments, estimated co-insurance/deductibles and balances from previous accounts. Screens for financial assistance and discusses payment options with patients. Accommodates requests from patients and physicians to the extent possible. Processes patient accounts in accordance with the departmental and institutional policies and procedures. Obtains/reviews accurate demographic and insurance information and corrects information as needed. Processes accounts for accurate registration and payment. Obtains patients signatures and explains hospital financial documents to patients. ie: Authorization for Treatment/Terms of Treatment Agreement form, Advance Beneficiary Notice (ABN), Release of Medical Information, HIPAA Release of Information, etc. and scans them in to the Cerner system via HBF and/or ILE. Collects copayments, estimated co-insurance and deductibles. Completes the Medicare Secondary Payer (MSP) questionnaire. Documents actions taken, answers inquiries involving individual accounts and researches problem accounts to assure payment. Maintains knowledge of financial computer system. Performs duties and responsibilities in a manner consistent with our mission and values. Assures integrity of critical system data elements. Completes assignments in the prescribed time periods with efficiency and attention to detail. Obtains demographic and insurance information in order to create a new patient account and/or correct incomplete/missing information on an existing patient account. Accommodates requests from patients and physicians to the extent possible. Uses and demonstrates understanding of the patient accounting computer system, including system reports and security procedures. Adheres to Patient Financial Services/Patient Access and St. Luke’s Hospital’s policies, hospital/physician billing practices, third-party requirements and HIPAA regulations. Teaches new employees and other staff members procedures. Maintains good rapport with patients, physicians, third-party payors and other department representatives. Works efficiently with other staff members to accomplish work and department projects. May describe procedures to auditors or others from outside the department.
May review or initiate procedures and recommend changes. 60%
Interacts by telephone and/or in person with patients other departments, physician offices and reviewing agencies. Accurately and efficiently creates/processes the account including transaction records and other functions. Stays abreast of contract, regulation, procedure, and other changes affecting the department. 30%
Provides information and assistance to physicians regarding registration/billing procedures.
Reports unusual accounts, account problems, and workflow issues promptly to the Manager. 5%
Performs other duties as assigned. 5%
Total 100%
CSR II – will meet all the above accountabilities in addition to the CSRII qualifications as documented on the PFS Career Path Ladder (see attached). Employee will need to score 100% on each section of the test. If the employee does not score 100% in a particular section, the employee will be able to retest that section of the test after 60 days
Education:
High school diploma required.
Associates degree or two (2) years of relative experience required.
Experience:
35 WPM accurate typing skills. Proficiency with 10-key calculator and/or data entry skills required. One year related work experience preferred. Effective oral and written communication skills required. Computer experience preferred. Must be capable of maintaining a high degree of productivity with attention to detail and accuracy and ability to understand third-party requirements/regulations for effective job performance. Must be capable of accurately determining patient insurance information, data entry, and processing to meet the Hospital’s financial objectives. Must be able to interact effectively with staff and patients and demonstrate positive customer relations while maintaining patient confidentiality.
Reporting Relationships (Text Only): Takes directions from: Manager – Patient Financial Services Associate Director – Patient Financial Services Director – Patient Financial Services Working Conditions:
Employee is required to sit continuously and walk occasionally. Employee must lift/carry a light (1-20 lbs.) load frequently. Employee is frequently required to bend, squat, crawl, kneel, climb, lift waist to overhead. Employee is occasionally required to reach forward and reach overhead. For repetitive action, employee is required to use both hands for simple grasping and pushing/pulling. Employee is occasionally exposed to electrical hazards and CRT terminal work continuously.
(Occasionally: 1-33%, Frequently: 34-66%, Continuously: 67-100%)
The most significant of duties are included but this does not exclude occasional work assignments not mentioned or developmental duties.
Mission/Values:
MISSION
Faithful to our Episcopal-Presbyterian heritage and its ministry of healing, St. Luke’s is dedicated to improving the health of the communities we serve.
Using talents and resources responsibly, we provide high quality, safe care with compassion, professional excellence and respect for each other and those we serve.
VISION
As an independent healthcare network, we create healthy communities in the region through our commitment to high quality, safe and personalized services.
CORE VALUES
Human Dignity
We accept and treat all persons as being created in the image of God.
Compassion
We respond with caring to the needs of others as if they were members of our family.
Justice
We honor each person’s rights and responsibilities in light of the common good.
Excellence
We set and strive to attain high standards of performance and continuous improvement.
Stewardship
We use our talents and resources wisely, with honesty and integrity.
FACES – Friendly – Available – Caring – Efficient – Safe Communication Standards: Promotes and provides courteous and effective communication with internal and external customers.
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