Southeast Medical Group ยท 2 days ago
RCM Inbound Call Center - Coder
Alpharetta, GA
Full-time
Onsite
Entry Level
1+ years expSoutheast Medical Group is seeking a detail-oriented and customer-focused Inbound Call Center Representative to join their Revenue Cycle Management team. In this role, you will serve as the first point of contact for patients and insurance carriers, addressing inquiries related to account balances and billing statements while ensuring compliance with HIPAA guidelines.
Health CareMedical
Responsibilities
Answer incoming calls from patients, guarantors, and insurance carriers regarding account balances, statements, and billing concerns
Review and interpret Explanation of Benefits (EOBs), Electronic Remittance Advice (ERAs), and patient account activity to assist in resolving inquiries
Educate patients on insurance coverage, co-pays, deductibles, and patient responsibility based on EOB details
Demonstrate a basic understanding of the revenue cycle process, including charge capture, claim submission, payment posting, and follow-up
Resolve questions related to denials, underpayments, and coordination of benefits, escalating complex issues as appropriate
Access and navigate patient billing systems and practice management platforms to research and resolve account discrepancies
Maintain accurate documentation of all interactions within the patient record or call tracking system
Follow all HIPAA guidelines and company policies to ensure confidentiality and compliance
Meet established performance metrics, including call handling time, resolution rate, and customer satisfaction
Collaborate with other RCM departments (e.g., coding, collections, eligibility verification) to ensure timely and accurate issue resolution
Participate in regular training and quality assurance reviews to maintain up-to-date knowledge of billing practices and payer policies
Qualification
Required
High school diploma or equivalent; associate's degree in healthcare administration, business, or a related field preferred
Minimum of 1-2 years of experience in customer service, preferably in a call center or healthcare billing environment
Basic knowledge of medical terminology, insurance billing, and revenue cycle processes
Proficiency in using computer systems, including Microsoft Office Suite and electronic health record (EHR) or practice management software (e.g., Epic, AllScripts/Veradigm, Cerner, or similar)
Excellent verbal and written communication skills with the ability to explain complex billing information clearly and empathetically
Strong problem-solving abilities and attention to detail
Ability to handle a high volume of calls while maintaining composure and professionalism
Familiarity with HIPAA regulations and commitment to patient confidentiality
Availability to work standard business hours (e.g., Monday-Friday, 8 AM-5 PM), with potential for occasional overtime
Preferred
Certification in medical billing or coding (e.g., CPC, CPB)
Experience with payer-specific policies and denial management
Bilingual abilities (e.g., English/Spanish) to assist diverse patient populations
Strong interpersonal skills for effective collaboration with internal teams
Benefits
Health insurance
Retirement plans
Paid time off
Professional development opportunities
Company
Southeast Medical Group
Southeast Medical Group offers primary care services, with a team of highly skilled physicians.
501-1000 employees
H1B Sponsorship
Southeast Medical Group has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2023 (2)
Funding
Current Stage
Late StageLeadership Team
Rod Rusyniak
CFO
Company data provided by crunchbase