Experienced Customer Service Specialist I – Revenue Cycle Support for careerzynith Healthcare Network

Remote Full-time
At careerzynith, we are dedicated to delivering exceptional patient care and administrative support to our esteemed healthcare partners. As a leading provider of administrative and clinical support staff, we are seeking a highly skilled and compassionate Customer Service Specialist I to join our team. This is an exciting opportunity to grow your career as part of our Revenue Cycle Career Ladder, working closely with our healthcare partners to provide top-notch customer service and support.

**About careerzynith**

careerzynith is a renowned provider of administrative and clinical support staff, partnering with leading healthcare organizations to deliver exceptional patient care and administrative support. Our team of experts is dedicated to fostering a culture of excellence, innovation, and collaboration, ensuring that our clients receive the highest level of service and support.

**Job Summary**

As a Customer Service Specialist I, you will play a vital role in handling and resolving incoming phone calls from patients, insurance carriers, and physician offices. Your primary responsibilities will include collections of outstanding patient balances, establishing payment arrangements, and updating patient and guarantor accounts with new demographic and insurance coverage information. You will be expected to exhibit professional and courteous behavior at all times during patient and/or client interaction.

**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 and document terms in the billing system
* Apply payments collected over the phone to each date of service
* Handle customer inquiries, disputes, and complaints, escalating contentious complaints to a supervisor or higher management
* Obtain all insurance, demographic, and guarantor information and update patient profiles as well as bill third-party payers as appropriate
* Clearly document in the system a summary of work and follow-up steps after each call

**Essential Qualifications**

* 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

**Preferred Qualifications**

* Experience working in a remote or virtual environment
* Proficiency in electronic billing systems, including Epic and/or other patient financial and practice management systems
* Knowledge of medical terminology and coding systems
* Previous experience in a customer-facing role, with a focus on patient satisfaction and retention

**Compensation and Benefits**

* 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, paid time off, and other perks to promote a healthy lifestyle
* Opportunities for career growth and professional development within our Revenue Cycle Career Ladder

**Work Environment and Company Culture**

* This is a remote position, with occasional requirements to visit the office for training, meetings, and other business needs
* careerzynith is committed to providing a productive and supportive work environment, with a focus on employee well-being and satisfaction
* Our team is dedicated to fostering a culture of excellence, innovation, and collaboration, ensuring that our clients receive the highest level of service and support

**How to Apply**

If you are a motivated and customer-focused individual with a passion for delivering exceptional patient care and administrative support, we encourage you to apply for this exciting opportunity. Please submit your application through our website, including your resume and a cover letter outlining your qualifications and experience.

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 fostering a diverse and inclusive work environment, where all employees feel valued, respected, and empowered to succeed.

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