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  • Lexington, KY 40517

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Customer Service Associate

Kentucky Medical Services Foundation • Lexington, KY

Posted 2 months ago

Job Snapshot

Healthcare - Health Services
Customer Service, Health Care, Insurance

Job Description

Date: November 2017 

Job Title: Customer Service Associate J

ob Status: Non-exempt, Full time 

Department: Patient Services 

Reports to: Customer Service Supervisor 

Direct Reports: None 

Summary: Primarily responsible for handling calls in the call center in a timely and accurate manner. 

Essential Functions:

1. Responds to telephone inquiries in a call center format 

2. Responds to written inquiries related to the medical practice’s policies and procedures 

3. Answers questions related to patient billing or determine if further research needs to be done 

4. If additional research is needed, account will be escalated to Tier 2 with appropriate documentation 

5. Provides accurate information to customers regarding insurance benefits, providers, claims, referrals, and eligibility, etc. 

6. Properly documents all inquiries, complaints, conversations, and procedures completed related to patient billing or patient’s account 

7. Collect appropriate payments from customer 

Education: High school diploma or equivalent 

Experience: Minimum two years of experience in customer service, preferably in the health care industry 

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 

Knowledge, Skills & Abilities: 

1. Knowledge of medical terminology 

2. Knowledge of insurance industry and billing procedures 

3. Knowledge of grammar, spelling, and punctuation for written and verbal correspondence 

4. Skill in using computer programs and applications 

5. Skill in conflict resolution 

6. Ability to handle multiple priorities at the same time 

7. Ability to read, understand, and follow oral and written instruction 

8. Ability to communicate clearly and concisely 

9. Ability to establish effective working relationships with patients, employees, and the public 

10. Able to listen, comprehend, and learn so as to become increasingly proficient in job functions 

11. Basic computing skills, including proficient use of MS Outlook, Excel, and Word, as examples 

12. Excellent communication and interpersonal skills 

13. Commitment to company and department values (e.g. integrity, accountability, collegiality, excellence, innovation) 

Performance Requirements / Key Metrics: 

1. Handle pre-determined number of inquiries per day 

2. Resolve patient-related issues within established guidelines

Job ID: KMSF-2347-1055
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