Customer Service Specialist I – Remote Opportunity with blithequark's Healthcare Provider Network

Are you a customer service professional with a passion for delivering exceptional experiences? Do you thrive in a fast-paced environment where no two calls are ever the same? Look no further than blithequark's Customer Service Specialist I role, where you'll have the opportunity to grow your career as part of a dynamic Revenue Cycle team. About blithequark blithequark is a leading provider of administrative and clinical support services to ColumbiaDoctors, one of the largest multi-specialty practices in the Northeast. With over 2,800 physicians, surgeons, dentists, and nurses offering more than 240 specialties and subspecialties, we're dedicated to delivering exceptional patient care and experiences. Our team of experts is committed to providing top-notch support to our clients, and we're seeking a talented Customer Service Specialist I to join our ranks. Job Summary As a Customer Service Specialist I, you'll be responsible for handling and resolving incoming phone calls from patients, insurance carriers, and physician offices. Your primary focus will be on collecting outstanding patient balances, establishing payment arrangements, and updating patient and guarantor accounts with new demographic and insurance coverage information. You'll work closely with our team to ensure seamless communication and resolution of customer inquiries, disputes, and complaints. Key Responsibilities • Handle a large volume of calls and perform work in a timely manner, ensuring that all customer interactions are professional, courteous, and respectful. • Attempt to collect full payment from patients or guarantors in a professional and courteous manner, using your expertise to navigate complex billing and insurance requirements. • Establish payment arrangements per guidelines, documenting terms in our billing system to ensure accurate and timely follow-up. • Apply payments collected over the phone to each date of service, ensuring that all financial transactions are accurately recorded and processed. • Handle customer inquiries, disputes, and complaints, escalating contentious issues to your supervisor or higher management as needed. • Obtain all necessary insurance, demographic, and guarantor information, updating patient profiles and billing third-party payers as appropriate. • Clearly document all work and follow-up steps in our system, ensuring that all customer interactions are thoroughly recorded and tracked. Essential Qualifications • High school graduate or GED certificate required; a minimum of 6 months' experience in a physician billing or third-party payer environment is preferred. • Demonstrated understanding of contracts, insurance benefits, exclusions, and other billing requirements, as well as claim forms, HMOs, PPOs, Medicare, Medicaid, and compliance program regulations. • Ability to understand and navigate the payer adjudication process, ensuring accurate and timely resolution of customer inquiries and disputes. • Experience with patient financial and practice management systems, particularly Epic and/or other electronic billing systems, is preferred. • Knowledge of medical terminology is preferred, as is previous call center/claims experience and experience in an academic healthcare setting. Preferred Qualifications • Previous experience working in a similar role, with a strong understanding of billing and insurance requirements. • Familiarity with medical terminology and billing systems, including Epic and/or other electronic billing systems. • Strong communication and interpersonal skills, with the ability to work effectively with patients, insurance carriers, and physician offices. • Ability to work in a fast-paced environment, with a high volume of calls and a strong focus on customer satisfaction. Compensation and Benefits • Hourly rate ranges: $22.39 - $28.29, with salary offers falling within these ranges based on experience, skill set, training, and education. • Comprehensive benefits package, including healthcare and various other benefits, to promote a healthy lifestyle. • Paid time off to support work-life balance and employee well-being. Work Environment and Culture • blithequark is committed to providing a productive and inclusive work environment, where all employees feel valued and supported. • Our team is dedicated to delivering exceptional customer service and experiences, and we're seeking a talented Customer Service Specialist I to join our ranks. • As a remote employee, you'll have the flexibility to work from home, with occasional requirements to visit our office for training, meetings, and other business needs. Career Growth Opportunities • blithequark offers a Revenue Cycle Career Ladder, providing opportunities for growth and advancement within our team. • Our team is committed to ongoing learning and development, with regular training and professional development opportunities to support your career goals. If you're a customer service professional with a passion for delivering exceptional experiences, we encourage you to apply for this exciting opportunity. Please apply including your resume and a cover letter, to. We look forward to hearing from you!