61st Street Service Corp ยท 2 months ago
Customer Service Specialist I #Full Time #Remote
61st Street Service Corporation is a top healthcare provider network that offers administrative and clinical support staff for ColumbiaDoctors. The Customer Service Specialist I is responsible for handling and resolving incoming phone calls from patients, insurance carriers, and physician offices, while ensuring professional and courteous interactions at all times.
Bookkeeping and PayrollComplianceHealth CareHuman Resources
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. Documents terms in billing system
Applies of 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
Qualification
Required
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
Preferred
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
Benefits
Healthcare
Paid Time off
Company
61st Street Service Corp
The employees of the Service Corporation support the mission of ColumbiaDoctors to help facilitate the delivery of world-class, patient-centered care by one of the top healthcare provider networks.