Experienced Customer Service Support Representative – Specialty Testing Billing (REMOTE)

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 on our Specialty Testing team, you'll be part of a dynamic and fast-paced work-from-home environment where you'll have the opportunity to discover more, develop new skills, and pursue career-building opportunities. Together, let's embrace possibilities and change lives!

About careerzynith

careerzynith is a leading healthcare company that's committed to advancing medical testing and diagnostics. Our team of experts is passionate about delivering high-quality services that make a difference in people's lives. As a Customer Service Support Representative, you'll be working closely with patients, doctors, and insurance carriers to provide assistance with billing, insurance coverage, and payment options.

Responsibilities

As a Customer Service Support Representative on our Specialty Testing team, you'll be responsible for:

• Handling high call volumes (averaging 75 calls per day) from patients, doctor's offices, and 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 listed 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 making a difference in people's lives, we encourage you to apply. Please visit our careers page to submit your application. Apply for this job