Customer Service Specialist II #Full Time #Remote

61st Street Service Corp•Fort Lee, NJ

18h•$24 - $32•Remote

About The Position

Top Healthcare Provider Network The 61st Street Service Corporation, provides administrative and clinical support staff for ColumbiaDoctors . This position will support ColumbiaDoctors, one of the largest multi-specialty practices in the Northeast. ColumbiaDoctors practices comprise an experienced group of more than 2,800 physicians, surgeons, dentists, and nurses, offering more than 240 specialties and subspecialties. This position is primarily remote, candidates must reside in the Tri-State area. Note: There may be occasional requirements to visit the office for training, meetings, and other business needs. Opportunity to grow as part of a Revenue Cycle Career Ladder! Job Summary: The Customer Service Specialist II is responsible for handling and resolving incoming phone calls from patients, insurance carriers and or physician offices. Responsibilities will include collections of outstanding patient balances, establishing payment arrangements, updating patient and guarantor account with new demographic and insurance coverage information. The Customer Service Specialist II must exhibit professional and courteous behavior at all times during patient and/or client interaction.

Requirements

High school graduate or GED certificate is required.
A minimum of 1 years 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.
Patient financial and practice management system experience in Epic and or other of electronic billing systems is preferred.
Knowledge of medical terminology is preferred.
Previous call center/claims experience in an academic healthcare setting is preferred.

Nice To Haves

Patient financial and practice management system experience in Epic and or other of 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

Expeditiously handle large volume of calls.
Attempts to collect full payment from patient or guarantor.
Establishes payment arrangements per guidelines.
Documents terms in billing system.
Applies of payments collected over the phone to each date of service.
Handles customer inquiries, disputes and complaints.
Escalates contentious complaints to supervisor or higher management.
Obtains all insurance, demographic, guarantor information and updates patient profile as well as bill third party payers as appropriate.
Performs other job duties as required and assigned.