Customer Service Representative - Hospital Specialist

Remote, UT

Shift Hours: Monday - Friday 8:30am - 5pm

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. 

The Customer Service Representative Hospital Specialist will be responsible for accurate and timely patient registration utilizing medical systems. This position will be responsible for timely and accurately verifying patients demographics and insurance plans over the phone. This work will need to be performed according to established policies and procedures. The associate will provide exceptional customer service to physicians, patients, family members and all other medical professionals.

The successful candidate demonstrates a high level of customer service behavior and ability to problem-solve, is self-motivated and flexible

To thrive in this job, you’ll need to be a confident multi-tasker who is a quick study with technology and can type and answer phones. You don’t need to have any previous experience or knowledge in healthcare. Since this is a hospital/lab environment, you will need to be prepared to see illness and injuries. We’ll teach you everything you need to know, which makes this a perfect starting point to launch your healthcare career. 

Responsibilities:

• Perform registration and basic insurance verification, ensuring collection of 7 critical data elements necessary for proper patient identification and billing. 
• Identify and update patient demographic information on the Host system as defined by departmental policy and procedures. 
• identify non-participating Insurance or Out of Networks plans; takes necessary steps to inform patients and physicians regarding options, including but not limited to canceling appointment. 
• Obtain Insurance Card copies or validate insurance information via electronic medical record, transfer information, or insurance eligibility tool. 
• Provide courteous and accurate patient and hospital information with way finding instructions for patients, families, visitors, and ancillary areas. 
• Prepare documents for imaging/scanning into electronic patient record. 
• Explains processes and forms to patients prior to securing signatures and ensures that all documents are properly signed and witnessed as required. 
• Assemble and disassemble patient charts or departmental documents according to department policy. 
• Maintain inventory control of forms and paper supplies needed in area. 
• Assist with all possible account resolutions pertaining to patient balances. 
• Perform all other duties and projects as assigned.
• Have financial conversations and collecting payments based off patient estimated financial responsibilities/standard deposits. 

Required Qualifications:

• High School diploma or GED
• Customer Service Experience
• Computer savvy with experience navigating between multiple systems simultaneously
• Must have MS Office Experience and excellent typing skills

Desired Qualifications:

• iCentra Registration Experience
• Experience working in a healthcare environment
• Completed a Medical Terminology class Certification in healthcare access preferred