Customer Service Specialist I #Full Time #Remote

61st Street Service Corporation provides administrative and clinical support staff for ColumbiaDoctors, a large multispecialty healthcare practice. The Customer Service Specialist I handles patient, insurance carrier, and physician office calls, collects outstanding balances, establishes payment arrangements, and updates patient and guarantor account information.

Responsibilities:

• Handle large volume of calls and perform work in a timely manner
• Attempts to collect full payment from patient or guarantor in a professional and courteous manner
• 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
• Clearly documents in system summary of work and follow up steps after each call

Requirements:

• High school graduate or GED certificate is required
• A minimum of 6 months' 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 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