RCM Customer Service Representative

Conifer Health Solutions•United States,
•Onsite

About The Position

Responsible for answering inbound customer service calls related to patient accounting questions. When inbound call volumes are low, the incumbent may make outbound follow-up calls on outstanding AR accounts. This role is part of the Conifer Health team, which brings extensive healthcare industry expertise to clients nationwide, focusing on improving financial and clinical performance, enhancing the patient experience, and advancing quality, cost, and access to healthcare.

Requirements

  • Exceptional customer service skills, including effective and efficient problem-solving and analyzing skills.
  • Professional and calming tone of voice with complete command of the English language, free of inappropriate grammar.
  • Ability to facilitate conversations and establish an understanding of the customer's issue/reason for contact.
  • Ability to perform essential job functions with a high degree of independence, flexibility, and creative problem-solving techniques.
  • Ability to maintain control of the call by de-escalating issues and instilling confidence in the resolution.
  • Ability to function effectively under the stress of conflicting demands on time and attention, and sometimes under duress from difficult personalities.
  • Ability to interpret and apply reimbursement aspects of managed healthcare contracts.
  • Attentive listening skills.
  • Ability to clearly articulate a response to the customer using appropriate voice modulation.
  • High school education or the equivalent.
  • 1-2 years prior experience in an inbound call center and/or customer service environment.

Nice To Haves

  • Hospital patient account billing experience or knowledge of 3rd party reimbursements from insurance companies and government payers is a plus.

Responsibilities

  • Answer inbound customer service calls and make outbound follow-up calls in a professional, service-oriented manner, ensuring timely answers without drops/abandons.
  • Ascertain the reason for the call and assist the caller with their questions, concerns, or problems, focusing on first-call resolution.
  • Facilitate resolution by referring matters to issue/content experts.
  • Escalate matters to a supervisor, request appropriate information, or take appropriate action to enable effective resolution by issue experts.
  • Other duties as assigned.

Benefits

  • Competitive benefits package
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