Experienced Customer Service Specialist - Healthcare Billing, Revenue Cycle Management, blithequark

Are you a passionate and innovative problem-solver driven to help people navigate the complexities of healthcare billing and revenue cycle management? Do you have a strong background in customer service, administrative work, and a desire to cultivate change in the healthcare industry? If so, we invite you to join our dynamic team at blithequark as a Customer Service Specialist, where you'll play a crucial role in delivering world-class care and service to our patients. About blithequark blithequark is a leading healthcare organization dedicated to transforming the primary care experience. Our mission is to deliver high-quality care and service to our patients, and we're looking for like-minded individuals to. As a Customer Service Specialist, you'll be part of a collaborative and inclusive environment that emphasizes leadership principles of ownership and continuous improvement. Our team has focused on making healthcare more accessible and less complicated for our members, and we're committed to empowering patients in resolving financial responsibilities. Key Responsibilities As a Customer Service Specialist, you'll be responsible for handling patient phone calls and message inquiries, de-escalating issues, and ensuring patient satisfaction. You'll also assist with navigating healthcare needs, including insurance, billing, medical records, authorizations, and referrals, using our proprietary CI CARE framework to ensure a positive experience. Your key responsibilities will include: - Handling patient phone calls and message inquiries, de-escalating issues, and ensuring patient satisfaction - Collaborating with providers and other operations team members to complete urgent tasks pertaining to patient billing issues and questions - Proactively reaching out to patients with open balances to assist with payment options, educate admins and patients on health insurance benefits, answer complex billing inquiries, resolve payment processing issues, and maintain service level agreements in response time to admins and patients - Assisting admins with our member's billing needs via 1Life's tasking system to provide the best customer service - Investigating claims through insurance to ensure they were processed according to the patient benefit plan, including reviewing and reconciling patient and insurance balances for accuracy - Mastering our technology suite, including RingCentral, Slack, G-suite, Zoom, and our Electronic Medical Record System 1Life, to interact with team members and patients and complete daily work - Contributing to team development through rounding, attending team huddles, participating in team problem-solving, and supporting all in-office providers with urgent & stat patient needs A Day in the Life As a Customer Service Specialist, you'll handle inbound calls from blithequark patients regarding their medical bills, insurance claims, and payment inquiries. Daily activities will include reviewing patient accounts, processing payments, explaining EOBs, and coordinating with internal stakeholders such as medical billing specialists, insurance verification teams, and healthcare providers to resolve billing discrepancies. You'll solve problems like incorrect charges, insurance claim rejections, payment plan requests, and billing confusion. Regular communication with insurance companies to verify benefits and claim status is essential. You'll also document all interactions in the electronic health record system and follow up on pending issues. About the Team Our call center team combines healthcare expertise with a customer-obsessed culture to deliver exceptional patient support. We handle billing inquiries with empathy and efficiency, and our culture emphasizes leadership principles of ownership and continuous improvement, supported by ongoing training and development. Team members work in a diverse, inclusive environment where success is measured by positive patient impact while maintaining the highest standards of healthcare privacy and professionalism. Basic Qualifications - 2+ years of customer service experience in a call center environment - 1+ years with medical billing, insurance claims, or healthcare revenue cycle - Demonstrated proficiency in Microsoft Office Suite - Experience using electronic health records (EHR) or customer relationship management (CRM) systems - Knowledge of HIPAA compliance and healthcare privacy regulations - High school diploma or equivalent Preferred Qualifications - Spanish Speaking - Ability to work various shifts - Strong problem-solving and documentation skills - Ability to type 45+ WPM while maintaining accuracy Compensation and Benefits Our compensation reflects the cost of labor across several US geographic markets. The base pay for this position ranges from $31,200/year in our lowest geographic market up to $50,000/year in our highest geographic market. Pay is based on a number of factors including market location and may vary depending on job-related knowledge, skills, and experience. Amazon is a total compensation company. Dependent on the position offered, equity, sign-on payments, and other forms of compensation may be provided as part of a total compensation package, in addition to a full range of medical, financial, and/or other benefits. If you're a motivated and customer-focused individual with a passion for healthcare, we encourage you to apply for this exciting opportunity. Please via our internal or external career site. We look forward to hearing from you and exploring how you can contribute to our mission to deliver world-class care and service to our patients. Equal Opportunity Employer blithequark is an equal opportunity employer and does not discriminate on the basis of protected veteran status, disability, or other legally protected status. We're committed to creating an inclusive environment where all employees feel valued, respected, and empowered to succeed.