Customer Service Representative

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

📋 Description

• Manage both 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 claim status and escalate issues when necessary.

• Maintain a professional and courteous demeanor during patient interactions.

• Ensure prompt and effective resolution of concerns from patients and payers.

• Accurately document all customer interactions within the system.

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

• Adhere to FDCPA guidelines when addressing outstanding balances.

• Work in conjunction with billing, collections, and revenue cycle teams.

• Provide management with 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

• High school diploma or GED is mandatory.

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

• Exceptional verbal and written communication skills.

• Basic understanding of orthopedic-related 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 abilities and conflict-resolution skills.

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

🏝️ Benefits

• Competitive salary and benefits package.

• Opportunities for professional development and career advancement.

• Supportive work environment with a focus on teamwork and collaboration.