Healthcare Customer Service Specialist

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

📋 Description

• Manage over 60 inbound and outbound calls daily pertaining to billing, payments, medical claims, and coverage inquiries.

• Address telephone inquiries by adhering to established procedures and scripts.

• Collect necessary information, review account details, and resolve customer issues efficiently and accurately.

• Clearly articulate billing information, insurance benefits, and available services to patients.

• Evaluate patient needs and offer suitable solutions or escalate issues as required.

• Organize work to ensure optimal call coverage while maintaining daily productivity.

• Collaborate with management and colleagues through screen-sharing tools to facilitate real-time problem-solving and achieve performance objectives.

• Assist with departmental initiatives and contribute to ongoing improvement efforts.

• Adhere strictly to HIPAA regulations and confidentiality policies.

• Support departmental objectives and suggest enhancements to boost efficiency.

• Carry out additional responsibilities as assigned to aid the team and contribute to organizational success.

⛳️ Requirements

• Bilingual (Spanish) preferred but not mandatory.

• High School Diploma or GED is required; further education is advantageous.

• A minimum of 1–2 years of customer service experience is necessary.

• Experience in healthcare, insurance, or medical collections is preferred.

• Knowledge of Medicaid, Medicare, Workers’ Compensation, and liability claims is a plus.

• Basic understanding of medical terminology and the healthcare revenue cycle is required.

• Demonstrated experience working with various systems and databases in a fast-paced environment.

🏝️ Benefits

• Comprehensive Health Coverage: Group medical, dental, and vision plans available starting from the first day of the month after 90 days of full-time employment.

• Life and Disability Insurance: Basic life/AD&D, short-term, and long-term disability coverage offered, with options for voluntary life/AD&D.

• 401(k) Retirement Savings Plan: Eligible to join the company’s 401(k) plan at the start of the first calendar quarter following three (3) months of continuous service.

• Paid Time Off (PTO): Start accruing Paid Time Off from your first day of employment.

• Flexibility in Benefits: The company retains the right to amend, modify, or terminate any benefits programs as necessary.