Customer Service Specialist II #Full Time #Remote

Columbia University Irving Medical Center is a top healthcare provider network seeking a Customer Service Specialist II to support ColumbiaDoctors. This role involves handling incoming calls from patients and insurance carriers, managing collections, and updating patient information.

Responsibilities:

• Expeditiously handle large volume of calls
• Attempts to collect full payment from patient or guarantor
• Establishes payment arrangements per guidelines. Documents terms in billing system
• Applies of payments collected over the phone to each date of service
• Handles customer inquiries, disputes and complaints. Escalates contentious complaints to supervisor or higher management
• Obtains all insurance, demographic, guarantor information and updates patient profile as well as bill third party payers as appropriate
• Performs other job duties as required and assigned

Requirements:

• High school graduate or GED certificate is required
• A minimum of 1 years' experience in a physician billing or third party payer environment
• 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 of electronic billing systems is preferred
• Knowledge of medical terminology is preferred
• Previous call center/claims experience in an academic healthcare setting is preferred
• Previous experience in an academic healthcare setting is preferred