Experienced Customer Service Support Representative – Specialty Testing Billing (REMOTE) at blithequark

Remote Full-time
Are you passionate about delivering exceptional customer service and making a meaningful impact in the healthcare industry? Do you thrive in fast-paced environments and enjoy working with diverse stakeholders? If so, we invite you to join blithequark's Specialty Testing team as a Customer Service Support Representative. In this critical role, you will play a vital part in ensuring seamless communication between patients, healthcare providers, and insurance carriers, providing expert guidance on billing and insurance coverage. About blithequark At blithequark, we are committed to accelerating life-changing healthcare breakthroughs and improving the delivery of care for all. Our team of dedicated professionals is passionate about making a difference in the lives of our patients and clients. As a valued member of our team, you will have the opportunity to grow and develop your skills, pursue career-building opportunities, and contribute to our mission to solve some of today's biggest health challenges. Responsibilities As a Customer Service Support Representative, you will be responsible for: * Providing exceptional customer service to patients, healthcare providers, and insurance carriers, responding to inquiries and resolving issues related to billing and insurance coverage * Researching and communicating complex information in a clear and concise manner, ensuring accurate and timely resolution of customer concerns * Collaborating with other departments to resolve reimbursement opportunities and ensure seamless communication between stakeholders * Initiating payment plans for patients with outstanding balances, adhering to PCI compliance protocols * Documenting telephone conversations clearly and accurately in the respective systems, maintaining patient confidentiality and adhering to HIPAA guidelines and regulations * Updating and maintaining records in the billing system, including the review of accounts, payment collections, and case notes * Assisting with other duties as assigned, contributing to the overall success of the team Qualifications To be successful in this role, you will need: * An Associate's degree with at least 1+ year of prior relevant work experience or a High School diploma/GED equivalent with at least 3+ years of relevant work experience * Prior healthcare experience is strongly preferred, with a strong preference given to professional medical billing and collection practices * Ability to interpret and apply understanding of insurance explanation of benefits (EOB) strongly preferred * Previous customer service experience handling high call volume is strongly preferred * Medicare/Medicaid billing experience is preferred * Knowledge of CPT and ICD10 codes is strongly preferred * Experience with Laboratory Billing and Laboratory Information System (LIS) is preferred * Working knowledge of prior authorization is preferred * Understanding of Women's Health & Genetics Moms Helping Moms of Tomorrow processes is preferred * XIFIN experience is preferred * Bilingual in English and Spanish is preferred Desired Skills In addition to the qualifications listed above, we are seeking candidates with: * Excellent verbal and written communication skills * Ability to follow established program protocols and procedures * Ability to review large amounts of data for accuracy * Must be organized and detail-oriented * Computer proficiency in MS Windows, MS Office, and database experience Physical and Remote Technical Requirements * Prolonged periods of sitting at a desk and working on a computer * Internet speed of at least 50 megabytes per second * Ability to connect equipment to router/modem with Ethernet cord * Equipment cannot be connected through Wi-Fi or satellite internet Benefits As a valued member of our team, you will be eligible for comprehensive benefits, including: * Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement, and Employee Stock Purchase Plan * Casual, PRN & Part Time employees regularly scheduled to work less than 20 hours are eligible to participate in the 401(k) Plan only Equal Opportunity Employer blithequark is proud to be an equal opportunity employer, committed to inclusion and belonging in the workforce. We do not tolerate harassment or discrimination of any kind and make employment decisions based on the needs of our business and the qualifications and merit of the individual. If you are passionate about delivering exceptional customer service and making a meaningful impact in the healthcare industry, we invite you to apply for this exciting opportunity. Please visit our website to learn more about our company culture and benefits. We look forward to hearing from you!
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