Overview
Note : Office for this position is located at our Houston Methodist Continuing Care Hospital : 701 S. Fry Rd. Katy TX 77450.
- This is Monday-Friday opportunity (on site)
- 3 years of call center and hospital or physician revenue cycle experience is required
- Very high paced call center experience
At Houston Methodist the Senior Single Billing Office (SBO) Customer Service Representative position is responsible for acting as a liaison between Houston Methodist patients providers and payers for all post-care matters related to account resolution. This position interacts with all SBO sub-units and other hospital and Physician Organization service areas on a daily basis cultivating good business relationships to promote harmony and effective communication to resolve patient concerns post care. The Senior SBO Customer Service Representative handles more complex inquiries and assists management with identifying trends impacting performance and notifications of opportunities while providing innovative suggestions for process improvement. This position also assists management with auditing / quality review to ensure accurate and appropriate billing and account resolution. Other duties include serving as a resource trainer and mentor to other team members.
Houston Methodist Standard
PATIENT AGE GROUP(S) AND POPULATION(S) SERVED
Refer to departmental Scope of Service and Provision of Care plans as applicable for description of primary age groups and populations served by this job for the respective HM entity.
HOUSTON METHODIST EXPERIENCE EXPECTATIONS
Provide personalized care and service by consistently demonstrating our I CARE values :INTEGRITY : We are honest and ethical in all we say and do.
COMPASSION : We embrace the whole person including emotional ethical physical and spiritual needs.ACCOUNTABILITY : We hold ourselves accountable for all our actions.RESPECT : We treat every individual as a person of worth dignity and value.EXCELLENCE : We strive to be the best at what we do and a model for others to emulate.Practices the Caring and Serving ModelDelivers personalized service using HM Service StandardsProvides for exceptional patient / customer experiences by following our Standards of Practice of always using Positive Language (AIDET Managing Up Key Words)Intentionally collaborates with other healthcare professionals involved in patients / customers or employees experiential journeys to ensure strong communication ease of access to information and a seamless experienceInvolves patients (customers) in shift / handoff reports by enabling their participation in their plan of care as applicable to the given jobActively supports the organizations vision fulfills the mission and abides by the I CARE valuesResponsibilities
PEOPLE ESSENTIAL FUNCTIONS
Promotes a positive work environment and contributes to a dynamic team focused work unit that actively helps one another to achieve optimal department and organizational results.Follows the standard talking points outlined in department protocols when interacting with patients to ensure high quality and consistent service.Serves as a resource and trainer for less experienced and new staff; orients guides and mentors team members to help build confidence and competency in skills knowledge and abilities.SERVICE ESSENTIAL FUNCTIONS
Provides follow-up for issues that are not solved on the initial inquiry.Receives and responds to more complex incoming inquiries via phone email patient portal a timely fashion. Utilizes clear concise and professional communication skills both verbally and written.Leverages knowledge of external vendor workflow processes and information systems that promote the patient experience to resolve customer concerns more efficiently.QUALITY / SAFETY ESSENTIAL FUNCTIONS
Utilizes sound judgment and analytical skills to bring the account for resolution analyzing the data elements (clinical and financial) within the electronic health record to determine the current state of the account.Provides clear and concise documentation of every action taken on an account in the system collection notes. Provides balance breakdown to document the status of next responsible party (i.e. primary secondary payor patient balance or credit balance).Meets or exceeds stated Performance Indicator Expectations (e.g. productivity quality review abandonment rate adherence expectations).Consistently takes the necessary steps to ensure that protected health information remains private and confidential according to established Health Insurance Portability and Accountability Act (HIPAA) guidelines.Identifies trends impacting performance and notifies supervisor / manager of opportunities for improvement.FINANCE ESSENTIAL FUNCTIONS
Follows levels of authority for posting adjustments refunds and contractual allowances.Uses resources effectively and efficiently. Organizes time effectively minimizing incidental overtime and sets priorities. Utilizes time between heavy workloads efficiently and helps other team members.GROWTH / INNOVATION ESSENTIAL FUNCTIONS
engages in personal assessment and expands learning beyond baseline competencies with a focus on continual development (i.e. participates in training opportunities focal point review activity etc.). Applies new learning.Generates and communicates new ideas and suggestions that will improve quality or service. Demonstrates adaptability and flexibility in the face of changing demands.This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business / job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.
Qualifications
EDUCATION
High School diploma or equivalent education (examples include : GED verification of homeschool equivalency partial or full completion of post-secondary education etc.)WORK EXPERIENCE
Three years of previous call center and hospital revenue cycle experienceLicense / Certification
LICENSES AND CERTIFICATIONS - REQUIRED
N / AKSA / Supplemental Data
KNOWLEDGE SKILLS AND ABILITIES
Demonstrates the skills and competencies necessary to safely perform the assigned job determined through on-going skills competency assessments and performance evaluationsSufficient proficiency in speaking reading and writing the English language necessary to perform the essential functions of this job especially with regard to activities impacting patient or employee safety or securityAbility to effectively communicate with patients physicians family members and co-workers in a manner consistent with a customer service focus and application of positive language principlesWorking knowledge of the patient billing cycle for both hospital and professional billingExcellent customer service and professional communication skills with the ability to remain calm in stressful situationsKnowledge of medical terminology and applicabilityExcellent spelling / grammar skillsManaged care knowledge with the ability to differentiate between insurance plans such as Preferred Provider Organization (PPO) Point of Service (POS) Health Maintenance Organization (HMO) etc.Ability to multi-task and flexibility to meet the requirements of the department and the organizationAbility to problem solve in the moment and provide recommendations in alignment with valuesProficient computer skills and ability to learn and navigate multiple software programsStrong training leadership and mentoring skillsBilingual skills preferredSUPPLEMENTAL REQUIREMENTS
WORK ATTIRE
Uniform NoScrubs NoBusiness professional YesOther (department approved) YesON-CALL
Note that employees may be required to be on-call during emergencies (ie. DIsaster Severe Weather Events etc) regardless of selection below.On CallNoTRAVEL
Travel specifications may vary by departmentMay require travel within the Houston Metropolitan area YesMay require travel outside Houston Metropolitan area NoCompany Profile
Houston Methodist (HM) is one of the nations leading health systems and academic medical centers. HM consists of eight hospitals : Houston Methodist Hospital its flagship academic hospital in the heart of the Texas Medical Center and seven community hospitals throughout the greater Houston metropolitan area. HM also includes an academic institute a comprehensive residency program a global business division numerous physician practices and several free-standing emergency rooms and outpatient facilities. Overall HM employs over 25000 employees. Houston Methodist is supported by a wide variety of business functions that operate at the system level to help enable clinical departments to provide the best patient care and service in a spiritual environment.
In 2019 Houston Methodist and its physicians treat more than 6333 international patients from more than 76 countries. Houston Methodist Global Health Care Services consulting and education divisions also provide advisory services and training and development to health care organizations around the world.
Required Experience :
Senior IC
Key Skills
Typing,Data Entry,Customer Service,Basic Math,Computer Skills,Windows,Banking,Upselling,Pricing,Sanitation,Cash Handling,Stocking
Employment Type : Full-Time
Experience : years
Vacancy : 1
