Contact Center Specialist

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

📋 Description

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

• Leverage various internal systems to meet the overall billing needs of patients.

• Deliver outstanding customer service to all callers.

• Resolve billing questions and concerns.

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

• Ensure accurate documentation, recording, and resolution of issues.

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

• Execute special projects and other assigned responsibilities.

⛳️ Requirements

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

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

• Minimum of one (1) year of customer service experience in a high-volume, fast-paced environment.

• Experience in a healthcare call center is preferred.

• Proficiency in English is required.

• Familiarity with the Explanation of Benefits (EOB).

• Knowledge of various insurance plans.

• Understanding of ICD-10 and CPT Codes.

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

• Strong mathematical skills involving addition, subtraction, multiplication, and division of whole numbers and fractions; computing percentages; and working with decimals.

• Excellent oral, written, and interpersonal communication abilities.

• Effective time management skills.

• Strong organizational capabilities.

• Exceptional customer service skills.

• Ability to comprehend, analyze, interpret, and clearly explain complex documents.

• Capacity to work effectively within a team environment.

• Ability to follow standards and quality guidelines.

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

• Flexibility to operate within a collaborative and fast-paced setting.

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

🏝️ Benefits

• Ventra performance-based incentive plan.

• Discretionary incentive bonus in line with company policies.

• Referral bonus for recommending a friend.

• Reasonable accommodations for qualified individuals with disabilities, as necessary.