Experienced Customer Service Specialist - Healthcare Billing, Revenue Cycle Management, arenaflex

Join arenaflex, a pioneering healthcare organization, as we revolutionize the primary care experience. We're seeking a passionate and innovative Customer Service Specialist to help manage patient inquiries, utilizing our unique CI CARE framework. As a key member of our team, you'll execute our mission of delivering high-quality care and service, ensuring a world-class experience for our patients.

About arenaflex

arenaflex is a leading healthcare organization dedicated to transforming the primary care experience. We're committed to delivering exceptional patient support, combining healthcare expertise with a customer-obsessed culture. Our team has focused on making healthcare more accessible and less complicated for members, handling billing inquiries with empathy and efficiency. We're a diverse, inclusive environment where success is measured by positive patient impact while maintaining the highest standards of healthcare privacy and professionalism.

A Day in the Life

As a Customer Service Specialist, you'll handle inbound calls from arenaflex patients regarding their medical bills, insurance claims, and payment inquiries. Your daily activities will include reviewing patient accounts, processing payments, explaining EOBs, and coordinating with internal stakeholders such as medical billing specialists, insurance verification teams, and healthcare providers to resolve billing discrepancies. You'll solve problems like incorrect charges, insurance claim rejections, payment plan requests, and billing confusion. Regular communication with insurance companies to verify benefits and claim status is essential. The role requires documenting all interactions in the electronic health record system and following up on pending issues.

Key Responsibilities

* Handle patient phone calls and message inquiries, de-escalate issues, ensure patient satisfaction, and assist with navigating healthcare needs including insurance, billing, medical records, authorizations, and referrals, using impeccable C-I-CARE (a framework containing the key elements of a great interaction and effective communication that we use with patients and each other) in all interactions to ensure a positive experience.

• Collaborate with providers and other operations team members to complete urgent tasks pertaining to patient billing issues and questions.
• Proactively reach out to patients with open balances to assist with payment options, educate admins and patients on health insurance benefits, answer complex billing inquiries, resolve payment processing issues, support arenaflex's efforts to empower patients in resolving financial responsibilities, and maintain service level agreements in response time to admins and patients.
• Assist admins with our member's billing needs via 1Life's tasking system to provide the best customer service.
• Investigate claims through insurance to ensure they were processed according to the patient benefit plan, including reviewing and reconciling patient and insurance balances for accuracy.
• Master our technology suite including but not limited to RingCentral, Slack, G-suite, Zoom, and our Electronic Medical Record System 1Life, to be able to interact with team members and patients and complete daily work.
• Contribute to team development through rounding, attending team huddles, participating in team problem-solving, supporting all in-office providers with urgent & stat patient needs.

Essential Qualifications

* 2+ years of customer service experience in a call center environment

• 1+ years with medical billing, insurance claims, or healthcare revenue cycle
• Demonstrated proficiency in Microsoft Office Suite
• Experience using electronic health records (EHR) or customer relationship management (CRM) systems
• Knowledge of HIPAA compliance and healthcare privacy regulations
• High school diploma or equivalent

Preferred Qualifications

* Spanish Speaking

• Ability to work various shifts
• Strong problem-solving and documentation skills
• Ability to type 45+ WPM while maintaining accuracy

arenaflex Culture

arenaflex is a total compensation company, offering a comprehensive benefits package, including:

• Competitive base pay, ranging from $41,600/year in our lowest geographic market up to $45,760/year in our highest geographic market
• Equity, sign-on payments, and other forms of compensation as part of a total compensation package
• Full range of medical, financial, and/or other benefits
• Ongoing training and development opportunities
• Diverse, inclusive environment where success is measured by positive patient impact while maintaining the highest standards of healthcare privacy and professionalism

How to Apply

If you're passionate about delivering exceptional patient support and have a strong background in customer service, medical billing, and revenue cycle management, we encourage you to apply for this exciting opportunity. Please visit our career site to submit your application. Apply Now! Apply for this job