Experienced Customer Service Specialist I – Patient Financial Services Representative

Remote Full-time
As a leading healthcare provider network, careerzynith is dedicated to delivering world-class, patient-centered care to our communities. We are seeking an experienced Customer Service Specialist I to join our team, providing exceptional customer service to patients, insurance carriers, and physician offices while navigating the complexities of patient financial services.

**About careerzynith**

careerzynith is a top healthcare provider network committed to revolutionizing the delivery of healthcare services. Our mission is to provide compassionate, patient-centered care that exceeds expectations. With a strong focus on innovation, careerzynith is constantly seeking talented individuals to join our team and contribute to our mission.

**Job Summary**

The Customer Service Specialist I is a critical role within our patient financial services team, responsible for handling and resolving incoming phone calls from patients, insurance carriers, and physician offices. This position requires exceptional communication skills, a strong understanding of patient financial services, and the ability to navigate complex billing systems.

**Key Responsibilities**

As a Customer Service Specialist I, you will be responsible for:

* Handling a large volume of calls and performing work in a timely manner
* Attempting to collect full payment from patients or guarantors in a professional and courteous manner
* Establishing payment arrangements per guidelines and documenting terms in billing systems
* Applying payments collected over the phone to each date of service
* Handling customer inquiries, disputes, and complaints, escalating contentious complaints to supervisors or higher management
* Obtaining all insurance, demographic, and guarantor information and updating patient profiles as well as billing third-party payers as appropriate
* Clearly documenting work and follow-up steps in the system after each call

**Essential Qualifications**

To be successful in this role, you will need:

* A high school graduate or GED certificate
* A minimum of 6 months' experience in a physician billing or third-party payer environment
* A strong understanding of contracts, insurance benefits, exclusions, and other billing requirements
* Knowledge of claim forms, HMOs, PPOs, Medicare, Medicaid, and compliance program regulations
* Ability to understand and navigate the payer adjudication process
* Experience with patient financial and practice management systems, preferably Epic and/or other electronic billing systems

**Preferred Qualifications**

While not required, the following qualifications are preferred:

* Previous call center or claims experience
* Previous experience in an academic healthcare setting
* Knowledge of medical terminology

**Compensation and Benefits**

careerzynith offers a competitive hourly rate range of $21.63 - $26.44, based on experience, skill set, training, and education. Our comprehensive benefit package includes:

* Healthcare benefits
* Paid Time Off to promote a healthy lifestyle
* A productive work environment that fosters growth and development

**Work Environment and Culture**

As a remote employee, you will have the flexibility to work from the comfort of your own home while still being part of a dynamic and supportive team. careerzynith is committed to providing a productive environment that encourages collaboration, innovation, and continuous learning.

**Career Growth Opportunities**

careerzynith is committed to the growth and development of our employees. As a Customer Service Specialist I, you will have opportunities to advance your career through our Revenue Cycle Career Ladder, which offers a clear path for professional growth and development.

**How to Apply**

If you are a motivated and customer-focused individual with a passion for patient financial services, we encourage you to apply for this exciting opportunity. Please visit our website to submit your application and join our team at careerzynith.

Apply Now!

**Equal Employment Opportunity**

careerzynith is an equal employment opportunity employer and adheres to all requirements of all applicable federal, state, and local civil rights laws. We are committed to creating a diverse and inclusive work environment that values and respects the contributions of all employees.

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