Customer Service Specialist I #Full Time #Remote
About The Position
The 61st Street Service Corporation, a top healthcare provider network, provides administrative and clinical support staff for ColumbiaDoctors. This position will support ColumbiaDoctors, one of the largest multi-specialty practices in the Northeast, comprising over 2,800 physicians, surgeons, dentists, and nurses offering more than 240 specialties and subspecialties. This position is primarily remote, and candidates must reside in the Tri-State area. Occasional visits to the office for training, meetings, and other business needs may be required. This role offers an opportunity to grow as part of a Revenue Cycle Career Ladder.
Requirements
- 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.
Nice To Haves
- Patient financial and practice management system experience in Epic and/or other electronic billing systems is preferred.
- Knowledge of medical terminology is preferred.
- Previous call center/claims experience is preferred.
- Previous experience in an academic healthcare setting is preferred.
Responsibilities
- Handle large volume of calls and perform work in a timely manner.
- Attempt to collect full payment from patient or guarantor 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.
- Escalate contentious complaints to supervisor or higher management.
- Obtain all insurance, demographic, and guarantor information and update patient profile 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.
Benefits
- Healthcare
- Various other benefits
- Paid Time off
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
