Experienced Customer Service Specialist I – Remote Opportunity with blithequark's Top Healthcare Provider Network

Are you a customer service professional with a passion for delivering exceptional patient-centered care? Do you thrive in a fast-paced, dynamic environment where no two calls are ever the same? If so, we invite you to join blithequark's top healthcare provider network as a Customer Service Specialist I. As a key member of our Service Corporation team, you will play a vital role in facilitating the delivery of world-class care to our patients while growing your career in a supportive and collaborative environment.

About blithequark

blithequark is a leading provider of innovative healthcare solutions, dedicated to improving the lives of patients and communities across the nation. Our commitment to excellence, compassion, and patient-centered care has earned us a reputation as one of the top healthcare provider networks in the industry. As a member of our team, you will be part of a dynamic organization that values diversity, inclusion, and employee growth.

Job Summary

As a Customer Service Specialist I, you will be responsible for handling and resolving incoming phone calls from patients, insurance carriers, and physician offices. Your primary focus will be on collections of outstanding patient balances, establishing payment arrangements, and updating patient and guarantor accounts with new demographic and insurance coverage information. You will work closely with patients, insurance carriers, and internal stakeholders to resolve issues, answer questions, and provide exceptional customer service.

Key Responsibilities

* Handle a large volume of calls and perform work in a timely manner, ensuring that all calls are answered promptly and resolved efficiently.

• Attempt to collect full payment from patients or guarantors in a professional and courteous manner, using empathy and understanding to resolve payment disputes.
• Establish payment arrangements per guidelines, documenting terms in our billing system and ensuring that all necessary information is collected and updated.
• Apply payments collected over the phone to each date of service, ensuring accurate and timely processing.
• Handle customer inquiries, disputes, and complaints, escalating contentious issues to supervisors or higher management as needed.
• Obtain all insurance, demographic, and guarantor information, updating patient profiles and billing third-party payers as appropriate.
• Clearly document all work and follow-up steps in our system, ensuring that all necessary information is recorded and accessible.

Essential Qualifications

* High school graduate or GED certificate required.

• A minimum of 6 months' experience in a physician billing or third-party payer environment, with a strong understanding of contracts, insurance benefits, exclusions, and other billing requirements.
• Ability to understand and navigate the payer adjudication process, with a strong knowledge of claim forms, HMOs, PPOs, Medicare, Medicaid, and compliance program regulations.
• Experience with patient financial and practice management systems, particularly Epic and/or other electronic billing systems, is preferred.
• Knowledge of medical terminology is preferred, as is previous call center/claims experience and experience in an academic healthcare setting.

Preferred Qualifications

* Previous experience in a similar role, with a strong track record of customer service and collections.

• Strong communication and interpersonal skills, with the ability to work effectively with patients, insurance carriers, and internal stakeholders.
• Ability to work in a fast-paced, dynamic environment, with a strong attention to detail and ability to multitask.
• Experience with CRM software and other customer service tools is a plus.

Compensation and Benefits

* Hourly rate ranges: $21.63 - $26.44, based on experience, skill set, training, and education.

• Comprehensive benefits package, including healthcare, paid time off, and various other benefits to promote a healthy lifestyle.
• Opportunities for career growth and professional development, with a focus on employee satisfaction and well-being.

Work Environment and Culture

* Primarily remote position, with occasional requirements to visit the office for training, meetings, and other business needs.

• Collaborative and supportive work environment, with a focus on employee growth and development.
• Emphasis on work-life balance, with flexible scheduling and opportunities for professional development.

How to Apply

If you are a motivated and customer-focused individual with a passion for delivering exceptional patient-centered care, we invite you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, to [insert contact information]. We look forward to hearing from you!

Equal Employment Opportunity

blithequark is an equal employment opportunity employer, committed to diversity, inclusion, and employee growth. We adhere to all requirements of all applicable federal, state, and local civil rights laws, and welcome applications from qualified candidates of all backgrounds. Apply for this job