About this role
R1 RCM is a company focused on improving financial outcomes and patient experiences in healthcare. They are seeking a Patient Solutions Representative II to work in a high-volume healthcare call center environment, assisting patients with billing, insurance, and account-related questions.
Responsibilities:
- Resolve questions related to medical billing, insurance coverage, claims, EOBs, and account balances
- Deliver high-quality customer service through inbound and outbound calls in a high-volume environment
- Support patients with payment plans and financial questions
- Achieve first call resolution and meet call center performance metrics
- Use EMR systems (Epic, Cerner, Meditech) to research and resolve issues
- Maintain HIPAA compliance and accurate documentation
- Navigate multiple systems while managing high call volume
Requirements:
- 1+ year of experience in a customer service or call center role
- Experience in insurance customer service, medical claims, or healthcare call centers
- Ability to explain insurance benefits, claims, and EOBs clearly
- Experience handling high call volume and fast-paced environments
- Strong attention to detail and ability to multitask across systems
- Familiarity with EMR systems (Epic, Cerner, etc.)
- Resolve questions related to medical billing, insurance coverage, claims, EOBs, and account balances
- Deliver high-quality customer service through inbound and outbound calls in a high-volume environment
- Support patients with payment plans and financial questions
- Achieve first call resolution and meet call center performance metrics
- Use EMR systems (Epic, Cerner, Meditech) to research and resolve issues
- Maintain HIPAA compliance and accurate documentation
- Navigate multiple systems while managing high call volume
- Experience in health insurance, payer customer service, or medical billing/claims (highly preferred)
- Health insurance customer service (Optum, UnitedHealthcare, Anthem, Aetna, BCBS)
- Medical claims or billing support roles
- Revenue cycle or patient financial services
- Healthcare contact center / call center environments