At careerzynith, we're dedicated to accelerating life-changing healthcare breakthroughs and improving the delivery of care for all. As a Customer Service Support Representative in our Specialty Testing team, you'll be part of a dynamic and fast-paced work-from-home environment, providing assistance to patients and clients to better understand health insurance coverage, cost, and payment options. If you're passionate about delivering exceptional customer service, navigating complex information, and working in a high-volume call center, we want to hear from you!
**About careerzynith**
careerzynith is a leading healthcare company that's committed to innovation and excellence. Our team of experts is dedicated to providing cutting-edge solutions that improve patient care and outcomes. As a Customer Service Support Representative, you'll be part of a collaborative and supportive team that's passionate about making a difference in people's lives.
**Responsibilities**
As a Customer Service Support Representative, you'll be responsible for:
* Handling high call volumes (averaging ~75 calls per day) from patients, doctor's offices, and private insurance carriers
* Researching and communicating complex information in a clear and concise manner
* Navigating and working on multiple systems and websites simultaneously
* Providing assistance to clients and patients regarding insurance coverage, financial responsibilities, and billing
* Collaborating with other departments to resolve reimbursement opportunities
* Receiving and processing credit card payments over the phone, adhering to PCI compliance protocols
* Initiating payment plans for patients with outstanding balances
* Documenting telephone conversations clearly and accurately in the respective systems
* Updating and maintaining records in the billing system, including reviewing accounts, payment collections, and case notes
* Maintaining patient confidentiality and adhering to HIPAA guidelines and regulations
* Assisting with other duties as assigned
**Qualifications**
To be successful in this role, you'll need:
* An Associate's degree with at least 1+ year of prior relevant work experience or a High School diploma/GED equivalent with at least 3+ years of relevant work experience
* Prior healthcare experience is strongly preferred, with a strong preference given to professional medical billing and collection practices
* Ability to interpret and apply understanding of insurance explanation of benefits (EOB) is strongly preferred
* Previous customer service experience handling high call volumes is strongly preferred
* Medicare/Medicaid billing experience is preferred
* Knowledge of CPT and ICD10 codes is strongly preferred
* Experience with Laboratory Billing and Laboratory Information System (LIS) is preferred
* Working knowledge of prior authorization is preferred
* Understanding of Women's Health & Genetics Moms Helping Moms of Tomorrow processes is preferred
* XIFIN experience is preferred
* Bilingual in English and Spanish is preferred
**Desired Skills**
In addition to the qualifications above, we're looking for individuals with:
* Excellent verbal and written communication skills
* Ability to follow established program protocols and procedures
* Ability to review large amounts of data for accuracy
* Must be organized and detail-oriented
* Computer proficiency in MS Windows, MS Office, and database experience
**Physical Requirements**
This role requires:
* Prolonged periods of sitting at a desk and working on a computer
**Remote Technical Requirements**
To work from home, you'll need:
* Internet speed of at least 50 megabytes per second
* Ability to connect equipment to a router/modem with an Ethernet cord
* Equipment cannot be connected through Wi-Fi or satellite internet
**Benefits**
As an careerzynith employee, you'll be eligible for comprehensive benefits, including:
* Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement, and Employee Stock Purchase Plan
* Casual, PRN & Part Time employees regularly scheduled to work less than 20 hours are eligible to participate in the 401(k) Plan only
**Equal Opportunity Employer**
careerzynith is proud to be an Equal Opportunity Employer. We strive for inclusion and belonging in the workforce and do not tolerate harassment or discrimination of any kind. Qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), family or parental status, marital, civil union or domestic partnership status, sexual orientation, gender identity, gender expression, personal appearance, age, veteran status, disability, genetic information, or any other legally protected characteristic.
**How to Apply**
If you're passionate about delivering exceptional customer service and working in a dynamic and fast-paced environment, we want to hear from you! Apply now to join our careerzynith team and start making a difference in people's lives.