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 services. Our commitment to excellence is reflected in our state-of-the-art facilities, cutting-edge technology, and a team of highly skilled professionals. As a member of our team, you will have the opportunity to grow and develop your skills in a dynamic and supportive environment.
**Job Summary**
The Customer Service Specialist I is a critical role in our revenue cycle team, responsible for handling and resolving incoming phone calls from patients, insurance carriers, and physician offices. This position requires a high level of professionalism, courtesy, and attention to detail, as you will be interacting with patients and clients on a daily basis. 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 that all calls are answered promptly and resolved efficiently.
* Attempt to collect full payment from patients or guarantors in a professional and courteous manner, while also establishing payment arrangements per guidelines.
* Document all payments collected over the phone, applying them to each date of service, and clearly documenting all work and follow-up steps in the billing system.
* Handle customer inquiries, disputes, and complaints, escalating contentious complaints to a supervisor or higher management as needed.
* Obtain all necessary insurance, demographic, and guarantor information, updating patient profiles and billing third-party payers as appropriate.
* Clearly document all work and follow-up steps in the system, ensuring that all information is accurate and up-to-date.
**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 a strong 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.
* Experience with patient financial and practice management systems, particularly 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**
* Bachelor's degree in a related field, such as healthcare administration or business.
* Experience with revenue cycle management and patient financial services.
* Strong analytical and problem-solving skills, with the ability to think critically and make sound decisions.
* Excellent communication and interpersonal skills, with the ability to work effectively with patients, clients, and colleagues.
* Ability to work in a fast-paced environment, with multiple priorities and deadlines.
**Compensation and Benefits**
* Hourly rate ranges: $22.78 - $30.77, based on experience, skill set, training, and education.
* Comprehensive benefits package, including healthcare, paid time off, and other benefits to promote a healthy lifestyle.
* Opportunities for career growth and professional development, with a revenue cycle career ladder and training programs.
**Work Environment and Culture**
* This is a remote opportunity, with occasional requirements to visit the office for training, meetings, and other business needs.
* careerzynith is an equal employment opportunity employer, adhering to all requirements of all applicable federal, state, and local civil rights laws.
* Our team is dedicated to providing exceptional customer service, while maintaining a productive and supportive environment for all employees.
**How to Apply**
If you are a motivated and customer-focused individual, with a passion for delivering exceptional patient care and 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!