Healthcare Customer Service Representative (FL)

Healthcare Business Services Inc. • Tampa, FL

4d • Hybrid

About The Position

RevCycle is growing and seeking to add new team members. With over 30 years in business, the company focuses on employee development and helping them reach their full potential. This role can be performed remotely or from the Marshfield, WI office, with opportunities to start in the August training class. The position exists to effectively manage inquiries and concerns related to billing and insurance, with the goal of offering payment options and facilitating payment processing. Customer Service Representatives will work in a company office or home office environment and operate with minimal management guidance to exceed Key Performance Indicators (number of calls handled/hr., successful payment resolution, and call quality). This role is expected to follow company and client policies, procedures, and applicable laws.

Requirements

• Prior work experience in a call center and healthcare customer service setting is preferred.
• Familiarity with Artiva and Cerner Soarian application is preferred. EPIC is a plus.
• Working knowledge of medical billing and coding is preferred.
• Prior work experience in a medical office and/or general understanding of health insurance is preferred.
• Able to communicate clearly, both verbally and in writing, and utilize proper grammar and telephone etiquette and provided electronic tools.
• Able to navigate multiple computer applications and databases.
• Moderate to advanced computer keyboard typing and navigation skill.
• Able to communicate on the phone and navigate multiple computer systems simultaneously.
• Able to overcome patient objections and obstacles to negotiate payment successfully.
• Reliable and responsible. Arrives on time and uses time productively and efficiently.
• Manages self effectively in a work from home environment, remaining focused on work and delivering required outcomes.
• Possesses and demonstrates professional judgment and operates with client business acumen.
• Understands sensitive personal information (SPI) and sensitive consumer information (i.e., Protected Health Information (PHI)) and maintains confidentiality of this information.
• Able to use tools provided to compute basic math calculations using addition, subtraction, multiplication, division, and percentages.
• Self-motivation and committed to career success.
• High School Diploma or equivalent (i.e., GED) required.
• Prior supervisory experience is welcome in this growing company.

Nice To Haves

• Familiarity with Artiva and Cerner Soarian application is preferred.
• EPIC is a plus.
• Working knowledge of medical billing and coding is preferred.
• Prior work experience in a medical office and/or general understanding of health insurance is preferred.
• Prior supervisory experience is welcome in this growing company.

Responsibilities

• Take calls from patients, law offices, insurance companies, and other outside facilities to resolve complex billing and insurance issues.
• Make outbound calls and take inbound calls from patients to resolve balances on accounts with a status that may be aging but has not been sent for collections.
• Answer complex billing and insurance questions (i.e. deductibles, co-insurance, co-pays, complex denials and charge disputes, claim resubmissions, eligibility issues, and coding disputes).
• Review financial information and recommend payment options and/or assistance programs in accordance with client guidelines.
• Manage both common and challenging objections and concerns from consumers.
• Discuss and help consumers think through payment resources and make necessary referrals to the client.
• Use required scripts/verbatims, skillfully navigating guidelines to maximize potential recovery on each call.
• Maintain a working understanding of account requirements, leveraging related documentation and resources as needed.
• Independently and efficiently perform account documentation including notes and codes, making few errors, requiring minimal assistance.
• Skillfully work within both internal and client systems.
• Adhere to company Core Values and Strategic Anchors.
• May learn and perform other duties and responsibilities as assigned based on business needs.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED