Join careerzynith, a leading provider of administrative and clinical support staff for ColumbiaDoctors, one of the largest multi-specialty practices in the Northeast. 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, ensuring exceptional customer service and revenue cycle management.
**About careerzynith**
careerzynith is a dynamic organization that provides administrative and clinical support staff to ColumbiaDoctors, a renowned healthcare provider network. With a team of over 2,800 experienced physicians, surgeons, dentists, and nurses, ColumbiaDoctors offers more than 240 specialties and subspecialties, making it a leader in the healthcare industry. careerzynith is committed to delivering exceptional customer service while maintaining a productive environment for all employees.
**Job Summary**
The Customer Service Specialist I is responsible for handling and resolving incoming phone calls from patients, insurance carriers, and physician offices. This role requires a high level of professionalism, courtesy, and attention to detail to ensure seamless communication and revenue cycle management. As a Customer Service Specialist I, you will have the opportunity to grow as part of a Revenue Cycle Career Ladder, with opportunities for advancement and professional development.
**Key Responsibilities**
• Handle a large volume of calls and perform work in a timely manner, ensuring exceptional customer service and revenue cycle management.
• Attempt to collect full payment from patients or guarantors in a professional and courteous manner, establishing payment arrangements per guidelines and documenting terms in the billing system.
• Apply payments collected over the phone to each date of service, ensuring accurate and timely processing.
• Handle customer inquiries, disputes, and complaints, escalating contentious complaints to supervisors 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 the system a summary of work and follow-up steps after each call, ensuring transparency and accountability.
**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 is preferred.
• 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 with patient financial and practice management systems, including Epic and/or other electronic billing systems.
• Knowledge of medical terminology and coding systems.
• Previous call center/claims experience, with a focus on customer service and revenue cycle management.
• Previous experience in an academic healthcare setting, with a focus on patient care and revenue cycle management.
**Compensation and Benefits**
careerzynith offers a competitive hourly rate range of $22.39 - $28.29, with salary offers falling within these ranges based on a variety of factors, including but not limited to experience, skill set, training, and education. Eligible employees also receive a comprehensive benefits package, including healthcare and various other benefits to promote a healthy lifestyle.
**Work Environment and Culture**
careerzynith is committed to providing a productive environment for all employees, with a focus on exceptional customer service and revenue cycle management. Our team is dedicated to delivering high-quality services to our clients, while maintaining a positive and supportive work environment.
**Career Growth Opportunities**
As a Customer Service Specialist I, you will have the opportunity to grow as part of a Revenue Cycle Career Ladder, with opportunities for advancement and professional development. careerzynith is committed to investing in the growth and development of our employees, with a focus on providing training and education to support career advancement.
**How to Apply**
If you are a motivated and customer-focused individual with a passion for revenue cycle management, 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!
**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 providing a diverse and inclusive work environment, with opportunities for all employees to grow and develop their careers.