Job Title | Resolution Specialist - Customer Service |
Location | Lafayette, LA |
Department | Corporate / Administrative & Support |
FLSA Status | Non-Exempt |
Shifts hiring | Full-time |
ACS has an immediate opening for a Resolution Specialist - Customer Service. This position is located at our Kaliste Saloom office.
The Resolution Specialist - Customer Service is responsible for monitoring daily call operations on CSR availability, complaint and inquiry resolution and related subjects, including other unit-specific needs.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Mission Critical role to provide on-call support M-F 8am-5pm CST to the department by responding to inquiries of patients, facilities, field staff, former employees, collection agencies, leadership, and administrators regarding complaints, payment negotiations, billing, and other issues.
- Analyze, monitor, and investigate complaints or inquiries, provide appropriate solutions and alternatives within the time limits and follow up to ensure resolution..
- Maintain detail information on customers inquiries, complaints or comments
- Support the Self Pay Collectors and Customer Service Reps on escalated calls from customers, insurance companies, facilities, etc
- Build sustainable relationships and trust with internal and external customer accounts through open and interactive communication
- Investigate and resolve identity theft, never been transported, and medical necessity cases, etc.
- Complete daily reports such as daily phone status and collection reports; Archived Person reports and Archived Person Invoice Activity reports. Submit unarchive requests as necessary
- Work closely with leadership with daily operations on CSR availability, complaint resolution and related subjects
- Phone coverage assistance as needed on live call tree
- Other duties and responsibilities, as assigned
QUALIFICATIONS:
- 5+ years of Medicare, Medicaid and/or Insurance Billing experience required, or
- Bachelor’s Degree and 3+ years of Billing experience including ICD-10 coding
- Proficient in Google, MS Office Suite or related software
- Understands HIPAA and Red Flag guidelines
- Problem-solving abilities
- Excellent communication and customer relation skills
- Familiarity with the Centers for Medicare & Medicaid Services regulations (ambulance)
- Demonstrate a strong work ethic and work independently
- Possess strong organizational skills
- Punctual with strong attendance history
- Ability to adhere to productivity goals, departmental and company guidelines, dress code, policy and procedures
- Excellent interpersonal skills and time management
- Maintain highest level of confidentiality
EOE/AA
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.