Contact Center Specialist

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

📋 Description

• Respond to incoming calls related to patient medical billing, insurance inquiries, Explanation of Benefits (EOB) forms, and payment arrangements.

• Deliver outstanding customer service to all callers.

• Address and resolve billing inquiries effectively.

• Clarify benefits coverage, available courses of action, and expected timeframes.

• Accurately document, record, and finalize issues.

• Work collaboratively with internal teams to investigate insurance denials, missing payments, and requests from attorneys.

• Undertake special projects and other assigned responsibilities.

⛳️ Requirements

• Associate's degree (2 years) is required.

• Bachelor's degree in a related field is preferred.

• A minimum of one (1) year of customer service experience in a high-volume, fast-paced setting.

• Experience in a healthcare call center is preferred.

• Proficiency in English is essential.

• Familiarity with the Explanation of Benefits.

• Knowledge of various insurance plans.

• Understanding of ICD-10 and CPT Codes.

• Proficient in word processing, spreadsheet, and database software.

• Strong mathematical abilities, including addition, subtraction, multiplication, and division of whole numbers and fractions; calculating percentages; and working with decimals.

• Excellent oral, written, and interpersonal communication skills.

• Strong time management abilities.

• Exceptional organizational skills.

• Strong customer service aptitude.

• Capability to comprehend, analyze, interpret, and clarify complex documents.

• Ability to function effectively within a team environment.

• Commitment to adhering to standards and quality guidelines.

• Proficient in reading, understanding, and applying state and federal laws, regulations, and policies.

• Flexibility to work within a collaborative and fast-paced environment.

• Ability to engage with diverse personalities in a tactful, mature, and professional manner.

🏝️ Benefits

• Ventra performance-based incentive program.

• Discretionary incentive bonuses in alignment with company policies.

• Referral bonuses available.

• Reasonable accommodations for qualified individuals with disabilities.