Top 3697 Member services representative Jobs in Harwood Heights Il

Healthcare Customer Service Representative
Wolcott, Wood and Taylor Inc. —Chicago, IL
- $22 - $24 an hour
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
12d
Member Services Representative
Planet Fitness —Addison, IL
- $15.50 an hour
- 18 years or older
- Computer literacy
- High school diploma or GED
- Opportunities for advancement
Quick Apply
Patient Service Representative (PSR) - Infusion Clinic
Advocate Aurora Health —Park Ridge, IL
- $19.80 - $29.70 an hour
- 8 hour shift
- High school diploma or GED
- Clinic
- 1 year
3h
People Experience Representative I - (In Office)
Advocate Aurora Health —Oak Brook, IL
- $25.30 - $37.95 an hour
- Full-time
- Office
- Bachelor's degree
- Continuous improvement
3d
HR Services Representative, Preboarding
Endeavor Health —Skokie, IL
- $22.14 - $33.21 an hour
- Full-time
- Background check
- Mid-level
- Administrative experience
- Free parking
- Wellness program
Member Services Representative M-F 2p -10p
Planet Fitness - IL/PA Rufo Group —Chicago, IL
- Full-time
- 18 years or older
- Computer literacy
- High school diploma or GED
Quick Apply
Patient Service Representative I
Ann & Robert H. Lurie Children’s Hospital of Chicago —Skokie, IL
- $19.00 - $28.50 an hour
- Full-time
- Microsoft Word
- Microsoft Outlook
- High school diploma or GED
- 403(b) matching
- Paid parental leave
13d
Patient Access Representative II
Endeavor Health —Glenview, IL
- $19.89 - $28.84 an hour
- Full-time
- Acute care
- Customer service
- High school diploma or GED
- Free parking
- Wellness program
Member Care Representative - Inbound Call Center
Alliant Credit Union —Chicago, IL
- $22 an hour
- Full-time
- Hybrid work
- High school diploma or GED
- Entry level
- Paid parental leave
- Paid holidays
Quick Apply
Member Services Representative M-F 6am-2pm
Planet Fitness - IL/PA Rufo Group —Morton Grove, IL
- Full-time
- 18 years or older
- Computer literacy
- High school diploma or GED
Quick Apply
Patient Service Representative - Gastroenterology Clinic (Niles)
Advocate Aurora Health —Niles, IL
- $19.80 - $29.70 an hour
- Full-time
- High school diploma or GED
- Clinic
- 1 year
10d
Patient Scheduling Representative - Oncology - Days
Endeavor Health —Niles, IL
- $20.69 - $30.00 an hour
- Part-time
- Anatomy knowledge
- Medical office experience
- High school diploma or GED
- Free parking
- Wellness program
Patient Services Representative III - Dental
Howard Brown Health —Chicago, IL
- $23.24 an hour
- Dental office
- HIPAA
- Mid-level
- Commuter assistance
- AD&D insurance
Quick Apply
Patient Access Representative- Addison, IL
Endeavor Health —Lombard, IL
- $19.89 - $28.84 an hour
- Part-time
- Bilingual
- Anatomy knowledge
- Customer service
- Free parking
- Wellness program
Member Services Representative
Association Management Center —Schaumburg, IL
- $24.50 an hour
- Full-time
- Hybrid work
- Data analysis skills
- Mid-level
- Office
- Health savings account
- AD&D insurance
Quick Apply
6d
Patient Access Representative I
Endeavor Health —Chicago, IL
- $19.89 - $28.84 an hour
- Full-time
- Anatomy knowledge
- Computer literacy
- Inpatient
- Free parking
- Wellness program
Member Service Representative
Self-Help —Chicago, IL
- $24.00 - $28.32 an hour
- Full-time
- Spanish
- English
- Office
Telecommunications Representative
Loyola Medicine —Maywood, IL
- $15.76 - $22.11 an hour
- Full-time
- High school diploma or GED
- 1 year
- Communication skills
- Tuition reimbursement
- Benefits from day one
6d
Member Services Part Time - Belmont
Planet Fitness —Chicago, IL
- $17.05 an hour
- Part-time
- Background check
- 18 years or older
- Computer literacy
- Health savings account
- AD&D insurance
12d
Patient Service Representative - Immediate Care South Loop Part-time
Northwestern Memorial Healthcare —Chicago, IL
- $18.64 - $26.10 an hour
- Part-time
- Bilingual
- Background check
- High school diploma or GED
- Tuition reimbursement
- 401(k) matching
Quick Apply
3d

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Healthcare Customer Service Representative

Wolcott, Wood and Taylor Inc. -
Chicago, IL

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Job Details

Full-time
$22 - $24 an hour
12 days ago

Qualifications

High school diploma or GED
Data interpretation

Full Job Description

Job Title: SBO Customer Service Specialist

Healthcare Customer Service Experience Preferred and Bilingual is a preference.

Reports to: Director of SBO

Position Summary:

The Self-Pay Billing Office (SBO) & Customer Service unit is responsible for responding to all incoming inquiries from patients, departments, various billing agencies and other external inquiries. The representative in this team has frequent contact with patients, Patient Financial Services staff, clinic and hospital staff and management, and managers, as well as billing and professional fee and collection services vendors.

The SBO Customer Service Specialist has a thorough knowledge of WWT & UI Health insurance contracts as the unit deals regularly with complex policy and procedural issues that involve contract compliance regarding HMO, PPO and government payers. Negotiates prompt payment discounts, sets up payment plans according to departmental guidelines, and has a working knowledge of the organization’s discount and charity policy. Provides relevant information to mitigate escalation and 2nd level disputes.

This position will process all customer service inquiries and follow-ups with quality, compassion and assertiveness. Performs analysis to take appropriate action on information or documents received. Meets WWT & UI Health guidelines, government and HIPAA policies and procedures by utilizing multiple databases and applications. Applications and Databases consist of: Epic, DataArk (McKesson), Availity, MEDI, On-BaseMS Outlook, MS Excel, MS Word, Medicare Connex, One Source and other payer websites.

Essential Duties and Responsibilities:

Handles all customer service in-bound call queues for collections, payments, and disputes
Ensure service levels are met and abandonment rates and RONAs are kept to a min.
Answers patient concerns regarding the balance inquiries, itemized bill requests and questions about their statements.
Assist patients with understanding their balance of statements and provide the available payment option that best suits their needs.
Provides first level financial assistance screening for patients that may qualify for Medicaid coverage or charity care including creating cases for FCMU follow up.
Updating patient demographics such insurance coverage, address, employer or covered member information.
Prepares accounts for resubmission of claims to insurance payers when applicable.
Initiates, route and follow-up on patient disputes regarding charges or coding issues based on workflows.
Ensures accurate billing practices on patient accounts were applied
Resolves operational statement hold reasons such as missing address or zip code, credit balances, unbilled coverages, etc.
Research and resolve a minimum of 25 accounts or guarantor accounts daily from WQ’s for DNBI, Fin. Assist screening, coverage changes, etc.
Responds to patient inquiries/concerns received by telephone or mail within 48 hours not to exceed 30 days of receipt.
Clarifies understanding of the inquiry/concern, determines the appropriate course of action, initiates and/or completes appropriate action, resolves patient complaints and does appropriate customer service recovery when required.
Research and processes accounts subject to bankruptcy regulations or legal actions.
Running individual time log reports to ensure effective time management and efficiency.
Other duties as assigned

Knowledge, Skills & Abilities

Previous call center or customer service experience in the medical field required.
Working knowledge of Epic is preferred.
Demonstrate an in-depth understanding of all aspects of billing procedures consistent with those performing insurance follow-up activities both hospital and professional billing environment
Working knowledge of insurance billing requirements, UB04 and HCFA 1500 claim forms, EOBs, Workers’ Compensation, Personal Injury, HMOs, PPOs, MCO, Medicare, Medicaid and compliance program regulations.
Basic understanding of CPT, ICD, DRG, and HCPC codes.
Excellent interpersonal, verbal, and written communication skills
Ability to demonstrate cultural sensitivity and a respectful, courteous and professional manner in all interactions
Ability to balance assertiveness with compassion, empathy and patience for the patient and others
Ability to effectively handle difficult customer situations on the phone and de-escalate the situation.
Critical thinking and use good judgment in decision making.
Good analytical and organizational skills
Motivated individual with a positive outlook and exceptional work ethic
Ability to consistently follow direction, processes and written procedures
Thorough knowledge of computer operation, keyboard functions, calculator, copier and fax machine operation with standard keyboard skills
Computer software skills (i.e. Microsoft Applications and E-mail, etc.)
Thorough understanding of HIPAA rules and regulations
Bi-lingual Spanish-speaking a preferred not required
Self-starter with strong sense of ownership, assertive follow-through and orientation toward results.

Education/Experience:
High School diploma or equivalent required. Experience should demonstrate expert level knowledge of analyzing and resolve complex problems in a quick and effective manner. Must have the ability to analyze and interpret data, good problem-solving skills and initiative. Experience should also demonstrate the use of effective communication skills with patients and staff; demonstrate proper telephone techniques and etiquette; shows sensitivity to differences of culture; demonstrates a positive and supportive manner in which patients / families/ colleagues perceive interactions as positive and supportive. Exhibits teamwork skills to positively acknowledge and recognize other colleagues and uses personal experiences to model and teach within organizations standards.

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Refine Your Search

member services representative jobs in harwood heights il

Healthcare Customer Service Representative

Member Services Representative

Patient Service Representative (PSR) - Infusion Clinic

People Experience Representative I - (In Office)

HR Services Representative, Preboarding

Member Services Representative M-F 2p -10p

Patient Service Representative I

Patient Access Representative II

Member Care Representative - Inbound Call Center

Member Services Representative M-F 6am-2pm

Patient Service Representative - Gastroenterology Clinic (Niles)

Patient Scheduling Representative - Oncology - Days

Patient Services Representative III - Dental

Patient Access Representative- Addison, IL

Member Services Representative

Patient Access Representative I

Member Service Representative

Telecommunications Representative

Member Services Part Time - Belmont

Patient Service Representative - Immediate Care South Loop Part-time

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