Rewritten Job Title:

Join careerzynith, a Leading Healthcare Provider Network, as a Customer Service Specialist I

At careerzynith, we are dedicated to delivering exceptional patient care and administrative support to our esteemed clients. As a Customer Service Specialist I, you will play a vital role in handling and resolving incoming phone calls from patients, insurance carriers, and physician offices. This is an exciting opportunity to grow your career as part of our Revenue Cycle Career Ladder and contribute to the success of our organization.

About careerzynith

Careerzynith is a top healthcare provider network that offers administrative and clinical support staff to ColumbiaDoctors, one of the largest multi-specialty practices in the Northeast. Our team comprises an experienced group of more than 2,800 physicians, surgeons, dentists, and nurses, offering over 240 specialties and subspecialties. As a remote employee, you will have the flexibility to work from the comfort of your own home while still being part of a dynamic and supportive team.

Job Summary:

The Customer Service Specialist I is responsible for handling and resolving incoming phone calls from patients, insurance carriers, and physician offices. Your primary responsibilities will include collections of outstanding patient balances, establishing payment arrangements, updating patient and guarantor accounts with new demographic and insurance coverage information. As a Customer Service Specialist, you must exhibit professional and courteous behavior at all times during patient and/or client interaction.

Key Responsibilities:

• Handle a large volume of calls and perform work in a timely manner.
• Attempt to collect full payment from patients or guarantors in a professional and courteous manner.
• Establish payment arrangements per guidelines and document terms in the billing system.
• Apply payments collected over the phone to each date of service.
• Handle customer inquiries, disputes, and complaints, and escalate contentious complaints to a supervisor or higher management.
• Obtain all insurance, demographic, guarantor information, and update patient profiles as well as bill third-party payers as appropriate.
• Clearly document in the system a summary of work and follow-up steps after each call.

Essential Qualifications:

• 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.

Preferred Qualifications:

• Patient financial and practice management system experience in Epic and/or other electronic billing systems.
• Knowledge of medical terminology.
• Previous call center/claims experience.
• Previous experience in an academic healthcare setting.

Career Growth Opportunities and Learning Benefits:

As a Customer Service Specialist I, you will have the opportunity to grow your career as part of our Revenue Cycle Career Ladder. careerzynith offers a comprehensive training program to help you develop your skills and knowledge in the healthcare revenue cycle. You will also have access to ongoing learning and development opportunities to enhance your career growth.

Work Environment and Company Culture:

Careerzynith is committed to providing a productive and supportive work environment for all employees. As a remote employee, you will have the flexibility to work from the comfort of your own home while still being part of a dynamic and supportive team. Our company culture values professionalism, courtesy, and teamwork, and we strive to maintain a positive and inclusive work environment.

Compensation, Perks, and Benefits:

Careerzynith offers a competitive hourly rate ranging from $22.39 to $28.29, based on experience, skill set, training, and education. Our comprehensive benefit package includes healthcare and various other benefits, including paid time off to promote a healthy lifestyle. We are an equal employment opportunity employer and adhere to all requirements of all applicable federal, state, and local civil rights laws.

How to Apply:

If you are a motivated and customer-focused individual with a passion for delivering exceptional patient care, we encourage you to apply for this exciting opportunity. Please visit our website to submit your application and join our team at careerzynith.