Customer Service Specialist I #Full Time #Remote

Job Summary

The Customer Service Specialist I is responsible for handling and resolving incoming phone calls from patients, insurance carriers, and/or physician offices. Responsibilities include collections of outstanding patient balances, establishing payment arrangements, updating patient and guarantor accounts with new demographic and insurance coverage information, handling customer inquiries, disputes, and complaints, and escalating contentious complaints to supervisors or higher management.

Job Responsibilities

• Handle large volume of calls and perform work in a timely manner.
• Attempts to collect full payment from patient or guarantor in a professional and courteous manner.
• Establishes payment arrangements per guidelines.
• Determines and applies payments collected over the phone to each date of service.
• Handles customer inquiries, disputes, and complaints.
• Escalates contentious complaints to supervisor or higher management.
• Obtains all insurance, demographic, guarantor information and updates patient profile as well as bill third party payers as appropriate.
• Clearly documents in system summary of work and follow up steps after each call.

Job Qualifications

• A high school graduate or GED certificate is required.
• A minimum of 6 months' experience in a physician billing or third party payer environment.
• Must demonstrate an understanding of contracts, insurance benefits, exclusions, and other billing requirements as well as claim forms, HMOs, PPOs, Medicare, Medicaid, and compliance program regulations.
• Candidate must demonstrate the ability to understand and navigate the payer adjudication process.
• Patient financial and practice management system experience in Epic and/or other electronic billing systems is preferred.
• Knowledge of medical terminology is preferred.
• Previous call center/claims experience is preferred.
• Previous experience in an academic healthcare setting is preferred.

Hourly Rate Range

$23.56 - $28.85

About the Role

This position is primarily remote, candidates must reside in the Tri-State area. Note: There may be occasional requirements to visit the office for training, meetings, and other business needs.

Benefits

61st Street Service Corporation offers a competitive comprehensive benefit package to eligible employees, including Healthcare and various other benefits including Paid Time Off to promote a healthy lifestyle. We are an equal employment opportunity employer and we adhere to all requirements of all applicable federal, state, and local civil rights laws.