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Customer Service Representative

Company: Sansum Clinic
Location: Santa Barbara
Posted on: May 31, 2021

Job Description:

About the CompanySansum Clinic is the largest independent nonprofit healthcare organization between the Los Angeles Basin and the San Francisco Bay Area. With more than 150 affiliated physicians and 1,000 employees, Sansum Clinic provides the full spectrum of healthcare services, from primary care to more than 30 specialties. Sansum Clinic serves more than 150,000 patients (600,000 visits) annually at our 25+ patient care facilities between Carpinteria and Santa Maria.Job DescriptionGENERAL STATEMENT OF DUTIES: Represents the clinic to patients, insurance companies, local companies, attorneys, front line staff and providers to ensure efficient claims submissions and statement processing for services rendered by Sansum Clinic providers as well as contract providers. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: (This list may not include all of the responsibilities assigned.) Answers telephones to provide information in a pleasant manner while dealing with high volume of patient calls. Perform duties primarily of a clerical nature designed to culminate in receivables by third parties for services rendered. Fields questions and requests both verbally and in writing concerning patient accounts. Assist patients in completing necessary forms. Submits claims to insurance carriers and attorneys to ensure timely correct payment. Participates in department quality improvement, clinic safety, infection control and hazardous materials programs and activities. Adheres to all policies and procedures. Completes annual performance and competency evaluation process with management and participates in goal setting, performance improvement and educational training as needed. Participates in professional development activities and maintains professional affiliations. Attends required meetings and participates in committees as requested. Adheres to HIPAA regulations. Exercises discretion and maintains high level of confidentiality. Performs related work as required.KNOWLEDGE, ABILITIES, AND SKILLS: Knowledge of common safety hazards and precautions to establish a safe work environment. Ability to communicate well with patients, families, co-workers, physicians, other members of the healthcare team, etc. Ability to adapt to varied, age-specific and/or specialized groups. Ability to understand use, function, interpret, document, and keep records. Ability to interpret, adapt and apply guidelines and procedures. Ability to react calmly and effectively in emergency situations. Ability to read, write and communicate effectively in English. Ability to organize and prioritize work. Ability to follow oral and written instructions. Ability to reason and make sound judgments. Skill in identifying problems and recommending solutions. Skill in establishing and maintaining effective working relationships with co-workers, management, patients, medical staff, and the public. Skill in accepting constructive criticism and giving suggestions in a professional manner. RequirementsEDUCATION, EXPERIENCE AND LICENSURE: High School diploma or equivalent Minimum of 6 months experience in an accounting or customer service environment required. Knowledge of insurance billing procedures. Attention to detail CompensationCompetitive salary, depending on experience, with an excellent comprehensive benefit package if eligible, including 403b, medical insurance, dental insurance, life insurance and paid time off.

Keywords: Sansum Clinic, Santa Barbara , Customer Service Representative, Other , Santa Barbara, California

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