Experienced Customer Service Specialist I – Remote Healthcare Support Role at blithequark

Are you a customer service professional with a passion for delivering exceptional experiences in a fast-paced healthcare environment? Do you thrive in a dynamic, remote work setting where you can make a real difference in the lives of patients and healthcare providers? If so, we invite you to join blithequark, a leading provider of administrative and clinical support services, as a Customer Service Specialist I. About blithequark blithequark is a top healthcare provider network that partners with ColumbiaDoctors, one of the largest multi-specialty practices in the Northeast. Our team of dedicated professionals provides administrative and clinical support to over 2,800 physicians, surgeons, dentists, and nurses, offering more than 240 specialties and subspecialties. As a remote Customer Service Specialist I, you will play a critical role in supporting our clients and patients, ensuring seamless communication and exceptional service delivery. Job Summary As a Customer Service Specialist I, you will be responsible for handling and resolving incoming phone calls from patients, insurance carriers, and physician offices. Your primary focus will be on collections of outstanding patient balances, establishing payment arrangements, and updating patient and guarantor accounts with new demographic and insurance coverage information. You will work closely with our clients and patients to resolve issues, answer questions, and provide exceptional customer service. Key Responsibilities • Handle a large volume of calls and perform work in a timely manner, ensuring that all calls are answered promptly and resolved efficiently. • Attempt to collect full payment from patients or guarantors in a professional and courteous manner, using your excellent communication and negotiation skills. • Establish payment arrangements per guidelines, documenting terms in our billing system and ensuring that all necessary information is updated. • Apply payments collected over the phone to each date of service, accurately and efficiently processing payments. • 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 necessary information is accurately recorded. Essential Qualifications • High school graduate or GED certificate required. • A minimum of 6 months' experience in a physician billing or third-party payer environment, with a strong understanding of contracts, insurance benefits, exclusions, and other billing requirements. • Ability to understand and navigate the payer adjudication process, with a strong knowledge of claim forms, HMOs, PPOs, Medicare, Medicaid, and compliance program regulations. • 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 in a similar role, with a strong track record of delivering exceptional customer service and resolving complex issues. • Strong communication and negotiation skills, with the ability to work effectively with patients, clients, and internal stakeholders. • Ability to work in a fast-paced, dynamic environment, with a strong focus on productivity and efficiency. • Experience with CRM software and other customer service tools, with a strong understanding of data entry and record-keeping procedures. Compensation and Benefits As a Customer Service Specialist I at blithequark, you can expect a competitive hourly rate, ranging from $22.39 to $28.29, based on your experience, skill set, training, and education. Our comprehensive benefits package includes: • Healthcare coverage • Paid Time Off (PTO) to promote a healthy lifestyle • Opportunities for career growth and professional development • A dynamic, supportive work environment with a focus on teamwork and collaboration Why Join blithequark? At blithequark, we are committed to providing our clients with exceptional customer service while maintaining a productive environment for all employees. We offer a competitive salary, comprehensive benefits package, and opportunities for career growth and professional development. If you are a motivated, customer-focused professional with a passion for delivering exceptional service, we invite you to. If you are a motivated, customer-focused professional with a passion for delivering exceptional service, we invite you to apply for this exciting opportunity. Please submit your resume and a cover letter outlining your experience, qualifications, and interest in the role. We look forward to hearing from you!