Experienced Customer Service Specialist I – Revenue Cycle Support for careerzynith Healthcare Network

Join careerzynith, a leading provider of administrative and clinical support services, as we continue to revolutionize the healthcare industry with our innovative approach to patient care and revenue cycle management.

About careerzynith

careerzynith is a top healthcare provider network that has been serving the community for years. Our team of dedicated professionals is committed to delivering exceptional patient care and administrative support services to our clients. With a strong presence in the Northeast, we have established ourselves as one of the largest multi-specialty practices in the region, comprising over 2,800 physicians, surgeons, dentists, and nurses across more than 240 specialties and subspecialties.

Opportunity to Grow with careerzynith

We are excited to offer a unique opportunity for a motivated and customer-focused individual to join our team as a Customer Service Specialist I. This role is part of our Revenue Cycle Career Ladder, providing a clear path for career growth and professional development. As a Customer Service Specialist I, you will play a critical role in handling and resolving incoming phone calls from patients, insurance carriers, and physician offices, ensuring timely and professional communication.

Job Summary

The Customer Service Specialist I is responsible for handling and resolving incoming phone calls from patients, insurance carriers, and physician offices. Key responsibilities include collections of outstanding patient balances, establishing payment arrangements, updating patient and guarantor accounts with new demographic and insurance coverage information. The Customer Service Specialist must exhibit professional and courteous behavior at all times during patient and/or client interaction.

Key Responsibilities

• Handle a large volume of calls and perform work in a timely manner

• Attempt to collect full payment from patients or guarantors in a professional and courteous manner
• Establish payment arrangements per guidelines, documenting terms in the billing system
• Apply payments collected over the phone to each date of service
• Handle customer inquiries, disputes, and complaints, escalating contentious complaints to supervisor or higher management
• Obtain all insurance, demographic, guarantor information, and update patient profiles 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

Essential Qualifications

• High school graduate or GED certificate 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
• 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

Preferred Qualifications

• Experience with patient financial and practice management systems, including Epic and/or other electronic billing systems

• Knowledge of medical terminology and billing regulations
• Previous call center/claims experience
• Previous experience in an academic healthcare setting

Compensation and Benefits

careerzynith offers a competitive hourly rate range of $22.39 - $28.29, with salary offers falling within these ranges based on a variety of factors, including but not limited to experience, skill set, training, and education. Our comprehensive benefit package includes:

• Healthcare benefits
• Paid Time Off to promote a healthy lifestyle
• Various other benefits to support your well-being and career growth

Work Environment and Company Culture

As a remote employee, you will have the flexibility to work from the comfort of your own home, while still being part of a dynamic and supportive team. careerzynith is committed to providing a productive environment for all employees, with a focus on excellent customer service and teamwork. Our company culture values diversity, equity, and inclusion, and we are an equal employment opportunity employer, adhering to all requirements of all applicable federal, state, and local civil rights laws.

How to Apply

If you are a motivated and customer-focused individual looking for a challenging and rewarding role in the healthcare industry, we encourage you to apply for this exciting opportunity. Please submit your application through our website or by clicking on the link below. Join careerzynith today and start your journey towards a rewarding career in revenue cycle management! Apply for this job