Experienced Customer Service Specialist I – Healthcare Revenue Cycle Support

As a leading provider of administrative and clinical support staff for careerzynith, a top healthcare provider network, we are seeking an experienced and customer-focused Customer Service Specialist I to join our team. This role will support careerzynith's multi-specialty practices, comprising an experienced group of over 2,800 physicians, surgeons, dentists, and nurses, offering more than 240 specialties and subspecialties.

About careerzynith

careerzynith is a renowned healthcare provider network, dedicated to delivering exceptional patient care and administrative support services. Our team is committed to fostering a productive and inclusive work environment, where employees can grow and thrive. As a remote-based Customer Service Specialist I, you will have the opportunity to work with a talented team, leveraging your skills and expertise to drive revenue cycle success.

Job Summary

We are seeking a highly motivated and customer-centric Customer Service Specialist I to join our team. As a key member of our revenue cycle team, you will 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.

Key Responsibilities

• Handle a large volume of calls and perform work in a timely manner, ensuring exceptional customer service and high-quality results.

• Attempt to collect full payment from patients or guarantors in a professional and courteous manner, leveraging your knowledge of contracts, insurance benefits, and billing requirements.
• Establish payment arrangements per guidelines, documenting terms in our billing system and applying payments collected over the phone to each date of service.
• Handle customer inquiries, disputes, and complaints, escalating contentious issues to your supervisor or higher management as needed.
• Obtain all insurance, demographic, and guarantor information, updating patient profiles and billing third-party payers as appropriate.
• Clearly document in our system a summary of work and follow-up steps after each call, ensuring seamless communication and collaboration with our team.

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, with a strong understanding of contracts, insurance benefits, exclusions, and other billing requirements.
• Demonstrated ability to understand and navigate the payer adjudication process, with a focus on claim forms, HMOs, PPOs, Medicare, Medicaid, and compliance program regulations.
• Strong communication and interpersonal skills, with the ability to work effectively with patients, insurance carriers, and physician offices.

Preferred Qualifications

• Patient financial and practice management system experience in Epic and/or other electronic billing systems.

• Knowledge of medical terminology and previous call center/claims experience.
• Previous experience in an academic healthcare setting, with a strong understanding of the revenue cycle process and patient financial management.

Compensation and Benefits

• Hourly rate ranges: $22.39 - $28.29, with salary offers based on a variety of factors, including experience, skill set, training, and education.

• Comprehensive benefits package, including healthcare, paid time off, and various other benefits to promote a healthy lifestyle.
• Opportunity to grow as part of a revenue cycle career ladder, with opportunities for professional development and advancement.

Work Environment and Culture

• Remote-based position, with occasional requirements to visit our office for training, meetings, and other business needs.

• Collaborative and inclusive work environment, with a focus on teamwork, communication, and customer satisfaction.
• careerzynith is an equal employment opportunity employer, adhering to all requirements of all applicable federal, state, and local civil rights laws.

How to Apply

If you are a motivated and customer-focused individual, with a passion for delivering exceptional patient care and administrative support services, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, to [insert contact information]. We look forward to hearing from you! Apply for this job