Medical Customer Service Rep

Job Description

Job Description

Description: We are hiring in the following states:
AR, AZ, CA, CO, FL, GA, IA, IL, LA, MO, MT, NC, NE, NJ, NV, OK, PA, SD, TN, TX, VA, WA, and WI
This is a remote position .

Job Overview

The customer service representative serves as the frontline liaison between healthcare providers and patients. This role provides patients with information pertaining to their health insurance coverage, assists with billing inquiries, and provides financial assistance options as necessary.

Role Specifics:

Will work in CST 8:00am to 4:30pm.

Experience in Meditech Expanse and Allscripts preferred.

Job Duties & Responsibilities

• Answer incoming calls and emails from patients addressing billing inquiries, resolve patient complaints, and provide detailed information pertaining to medical services and policies.
• Process patient billing inquiries, explain charges, insurance coverage, payment options, and facilitate resolution of billing discrepancies.
• Update and maintain accurate patient records within the customer’s system ensuring confidentiality and compliance with HIPAA regulations.
• Escalate patient complaints to leadership or the client as applicable.
• Notify patients of outstanding patient responsibility balances.
• Explain, with confidence, estimates of the services provided.
• Validate patient coverage and benefits as needed using tools such as payer portals.
• Participate and attend required team meetings, working sessions, and coaching meetings.
• Escalate unresolved billing issues, reimbursement delays, and trends to leadership.
• Achieve maximum reimbursement for services provided.
• Other job duties as assigned.

Requirements:

Position Requirements & Qualifications

· High school diploma or equivalent.

· Prior experience as a customer service representative or equivalent, ideally within the healthcare industry.

Knowledge, Skills & Abilities

• Knowledge of explanation of benefits (EOB), revenue collection, filling a claim, and patient medical records.
• Knowledge of insurance reimbursement policies and procedures.
• Knowledge of third-party operating procedures, regulations, and billing requirements as well as government reimbursement programs.
• Strong organizational skills, multitasking, and adhering to deadlines.
• Strong written and verbal communication skills.
• Ability to proactively solve problems.
• Knowledge of computer applications such as Microsoft Office, Teams, Zoom/Webex.

Disclosure Statement:
As part of the Currance application and hiring experience, all candidates are subject to a criminal background check, employment verification check and a government exclusion check. The government exclusion check is a mandatory screening process that verifies whether an individual is listed on federal or state exclusion or watchlists, including but not limited to, the Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) and the System for Award Management (SAM.gov).
These screenings are conducted to ensure compliance with applicable federal and state laws and regulations, to protect the integrity of federally funded programs, the clients we support, and to prevent participation by individuals who are excluded due to fraud, abuse, or other misconduct. By submitting an application, candidates acknowledge and consent to these checks as a condition of employment or engagement.