Experienced Customer Service Specialist I – Revenue Cycle Operations at careerzynith

Remote Full-time
Are you a customer service professional with a passion for delivering exceptional experiences? Do you thrive in fast-paced environments where no two calls are ever the same? Look no further than careerzynith, a leading provider of innovative solutions in the healthcare industry. We're seeking an experienced Customer Service Specialist I to join our dynamic team, working remotely from the comfort of your own home or in our hub, to provide top-notch support to patients, insurance carriers, and physician offices.

**About careerzynith**

careerzynith is a top healthcare provider network dedicated to delivering world-class, patient-centered care. Our mission is to empower patients to take control of their health, and our team of dedicated professionals is committed to making that vision a reality. As a Customer Service Specialist I, you'll be an integral part of our Service Corporation, working closely with our Revenue Cycle team to ensure seamless communication and exceptional customer experiences.

**Job Summary**

As a Customer Service Specialist I, you'll be responsible for handling and resolving incoming phone calls from patients, insurance carriers, and physician offices. Your primary focus will be on collections of outstanding patient balances, establishing payment arrangements, and updating patient and guarantor accounts with new demographic and insurance coverage information. You'll work closely with our team to resolve customer inquiries, disputes, and complaints, and provide exceptional support to patients and clients.

**Key Responsibilities**

* Handle a large volume of calls and perform work in a timely manner
* Attempt to collect full payment from patients or guarantors in a professional and courteous manner
* Establish payment arrangements per guidelines, documenting terms in our billing system
* Apply payments collected over the phone to each date of service
* Handle customer inquiries, disputes, and complaints, escalating contentious complaints to supervisor or higher management
* Obtain all insurance, demographic, guarantor information, and update patient profiles as well as bill third-party payers as appropriate
* Clearly document in our system a summary of work and follow-up steps after each call

**Essential Qualifications**

* High school graduate or GED certificate 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

**Preferred Qualifications**

* Experience working in a remote or virtual environment
* Familiarity with our patient financial and practice management system
* Strong communication and interpersonal skills
* Ability to work in a fast-paced environment with multiple priorities
* Strong problem-solving and analytical skills

**Compensation and Benefits**

* Competitive hourly rate ranges: $21.63 - $26.44
* Our salary offers will fall within these ranges based on a variety of factors, including but not limited to experience, skill set, training, and education
* Comprehensive benefits package, including healthcare and various other benefits
* Paid time off to promote a healthy lifestyle

**Why Join careerzynith?**

* Opportunity to grow as part of a Revenue Cycle Career Ladder
* Collaborative and dynamic work environment
* Competitive compensation and benefits package
* Opportunity to make a meaningful impact in the lives of patients and clients
* Professional development and growth opportunities

**How to Apply**

Ready to join our team? Click the link below to apply now and we'll be in touch soon!

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**About careerzynith's Commitment to Diversity and Inclusion**

careerzynith is an equal employment opportunity employer and we adhere 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 reflects the communities we serve. We welcome applications from qualified candidates of all backgrounds and perspectives.

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