Employer: Ventra Health
Overview
Job Summary:
- The Correspondence Representative is responsible for the research and proper handling of incoming correspondence.
Responsibilities
Essential Functions & Responsibilities:
- Works in a variety of work queues servicing multiple clients on claim rejections, duplicate claims, records, and bills
- Resolves patient billing issues
- Explains policies and procedures clearly and concisely. Researches, resolves, and documents incoming correspondence
- Evaluates incoming concerns and returns acknowledgement in the appropriate medium (email, telephone, etc.)
- Performs special projects and other duties as assigned
Qualifications
Education and Experience Requirements:
- High School Diploma or Equivalent
- One (1) year of customer service experience in a high volume, fast paced environment. Healthcare customer service experience preferred
Knowledge, Skills, and Abilities (KSAs):
- Knowledge of the Explanation of Benefits
- Knowledge of a variety of insurance plans
- Knowledge of ICD-10 and CPT Codes
- Strong word processing, spreadsheet, database, and presentation software skills
- Strong mathematical skills in addition, subtraction, multiplication and division of whole numbers and fractions; computing percentages; and working with decimals
- Strong oral, written, and interpersonal communication skills
- Strong time management skills
- Strong organizational skills
- Ability to handle and resolve escalated calls and correspondence
- Ability to read, understand, and apply state/federal laws, regulations, and policies
- Ability to remain flexible and work within a collaborative and fast paced environment
- Ability to communicate with diverse personalities in a tactful, mature, and professional manner