Call Center Representative

This is a fully remote position, open to applicants in Texas.

📋 Description

• Manage incoming and outgoing calls concerning patient balances, insurance claims, and billing inquiries.

• Deliver clear and compassionate explanations regarding charges, payment options, and account statuses.

• Assist patients in establishing payment plans and processing payments.

• Investigate and resolve billing discrepancies, denials, and adjustments.

• Collaborate with insurance carriers to confirm claims status and escalate issues as required.

• Maintain a professional and courteous attitude in all interactions with patients.

• Ensure prompt and effective resolution of concerns raised by patients and payers.

• Accurately document all customer interactions within the system.

• Comply with HIPAA regulations and company policies pertaining to the security of patient information.

• Adhere to the Fair Debt Collection Practices Act (FDCPA) guidelines when addressing outstanding balances.

• Collaborate closely with the billing, collections, and revenue cycle teams to enhance patient financial engagement.

• Provide managerial feedback on recurring billing issues and suggest potential solutions.

• Participate in training sessions and team meetings.

• Assist with special projects related to billing and collections.

⛳️ Requirements

• A high school diploma or GED is required.

• At least 1 year of experience in healthcare customer service, billing, or insurance claims processing.

• Exceptional verbal and written communication skills.

• Basic understanding of orthopedic coding, medical terminology, and insurance procedures is preferred.

• Proficient in Microsoft Office (Excel, Word, Outlook) and Athena software.

• Capability to manage high call volumes and thrive in a fast-paced environment.

• Strong problem-solving and conflict resolution abilities.

• High attention to detail and the ability to accurately follow workflows.

🏝️ Benefits

• Health insurance

• Paid time off