Icon hamburger
What job do you want?
Apply to this job.
Think you're the perfect candidate?
Apply on company site

You’re being taken to an external site to apply.

Enter your email below to receive job recommendations for similar positions.

Customer Service Specialist

Kentucky Medical Services Foundation Lexington Full-Time
Apply on company site
Summary: This position exists primarily to provide knowledge, expertise, and assistance to customers whose problems and needs are beyond that of the Customer Services Representatives, and to see problems resolved in an effective and efficient way that instills or restores customer satisfaction and confidence, as well as departmental and organizational credibility. Reviewing of accounts to increase the integrity of the data being sent to outside collections. It also serves in an aid and assist role for any and every Patient Services sub-group, as needed; e.g. Customer Service, Patient Collections, etc. Questions directed to this position are related to both provider and hospital billing.
Essential Functions:
1.Fields customer calls, inquiries, and issues requiring a greater degree of knowledge or expertise, including calls escalated from any of the Patient Services Department
2.Fulfills potentially any or all of the following functions, when needed:
a.Provide itemized statements, including certified, to appropriate entities as requested
b.Handle Risk Management accounts
c.Assist in training of new employees
d.Handle patients referred by Office of Service Excellence
e.Assist with walk-in patients
f.Handle HIPAA and Guarantor Related Issues
g.Submit appropriate accounts to the Accounts Review Committee
h.Handle VIP groups/individuals
i.Produce daily/weekly report for questions received by Patient Service Staff
j.eview and handle incoming emails received by management, Patient Services Request email box and outside sources.
k.Handle bankruptcy accounts
l.Handle deceased accounts
m.Assist with Call Center as needed to take calls
n.Assist with Patient Services Staff questions
o.Produce daily report for Diamond and HDX statements
p.Works with Finance/Cash Department to correct posting Errors
q.Sends letters to patients regarding coding review
r.Fulfill special projects as assigned
s.Reports trends and training issues to Patient Services Management
3.Reviews incoming mail to determine where it need to be assigned
4.Assists in Collection area
a.Reviewing accounts to increase the integrity of data being sent to outside collections
b.Handling bad debt reports and working with patients in bad debt
c.Eligibility reports
5.Assists with working worklists and EBEWs and PAITEWL
6.Assists with Guarantor and Self Pay A/R review
7.Handles following duties as necessary:a.Special billing or handling-Allergy, Alliance Coal, Shriners, etc.
8.Management may assign or reassign duties or responsibilities to this job at anytime, whether due to reasonable accommodation or for other reasons of business necessity or job improvement untability, collegiality, excellence, innovation)
Education: High school diploma or equivalent required
Experience: Minimum of three to five years’ experience in physician or hospital billing environment or proven Job Performance upon manager's approval
Work Environment: Work is performed in a temperature controlled, well-lighted office environment
Equipment Operated: Standard office equipment including computer, monitor, mouse, keyboard, fax machine, copier, printer, telephone, etc.
Physical Requirements: Job entails sitting approximately 90 percent of the day, walking or standing the remainder. Job does not involve lifting or carrying objects of more than 10 pounds, climbing, crawling, kneeling, squatting, bending, stooping, or any other physically strenuous motions or activities.
Mental Requirements: Concentration, comprehension, focus and attention to details
System Responsibilities: In order to perform required job functions, this role is responsible for maintaining advanced skill levels in the following systems: •HQPM
•Soarian Financials
Proficient skill levels must also be maintained in the following systems: •Cisco
•Document Imaging systems
•Encoder PRO
Share Point

Recommended skills

Customer Service
Call Centers
Customer Satisfaction


CareerBuilder Estimated Salary

Based on Job Title, Location and Skills
Below Avg. Average Above Avg.

Career Path

See the next step in your career
Customer Service Specialist
Estimated Salary: $69K
Apply to this job.
Think you're the perfect candidate?
Apply on company site

Help us improve CareerBuilder by providing feedback about this job: Report this job

Report this Job

Once a job has been reported, we will investigate it further. If you require a response, submit your question or concern to our Trust and Site Security Team


For your privacy and protection, when applying to a job online, never give your social security number to a prospective employer, provide credit card or bank account information, or perform any sort of monetary transaction. Learn more.

By applying to a job using CareerBuilder you are agreeing to comply with and be subject to the CareerBuilder Terms and Conditions for use of our website. To use our website, you must agree with the Terms and Conditions and both meet and comply with their provisions.