HealthCare Customer Service Specialist- Sugarland, Tx (Onsite)

Customer Service Representative

As a Customer Service Representative at GetixHealth, you will be responsible for ensuring that healthcare accounts are billed and paid both accurately and timely, based on client needs. You will handle a high volume of calls, addressing patient inquiries related to billing, payments, claims, benefits, and coverage. You will perform these duties in alignment with applicable laws, regulations, and GetixHealth's policies and procedures, while providing exceptional service.

Key responsibilities include:

• Handling a high volume of inbound and outbound calls (60+ calls daily) addressing billing, payment inquiries, claims, benefits, and coverage questions.
• Resolving customer inquiries by gathering necessary information, performing research, and offering accurate solutions.
• Communicating effectively with patients to explain available options and ensure issues are addressed in a timely manner.
• Providing detailed information to patients about available services and help assess their needs for optimal resolution.
• Following established procedures and scripts to ensure consistency and professionalism in responses.
• Collaborating remotely using screen-sharing tools and working closely with leadership and team members to meet performance goals.
• Assisting with department goals, recommending process improvements, and contributing to enhancing overall efficiency.
• Maintaining adherence to HIPAA regulations to ensure patient confidentiality.
• Other duties as assigned to support team and organizational needs.

Education and experience:

• High school diploma or GED required; additional education is preferred.
• Experience in customer service, preferably in a healthcare or medical setting, is a plus.
• Familiarity with health insurance providers, Workers' Compensation, Medicare, Medicaid, and liability claims processes.
• Practical or classroom knowledge of medical terminology and the revenue cycle.
• Strong verbal, written, and interpersonal communication skills.
• Attention to detail, ensuring accuracy in handling inquiries and data.
• Proven ability to work collaboratively in a fast-paced environment and maintain a positive attitude.
• Ability to use MS Office Suite applications and adapt to new systems as required.

Skills and qualities:

• Strong problem-solving skills with the ability to think critically and provide clear solutions to patients.
• Empathy and patience when working with customers, understanding the sensitive nature of healthcare billing.
• Ability to handle high-volume calls efficiently, while maintaining professionalism and quality of service.
• Team-oriented with a demonstrated ability to meet or exceed performance goals.

Hours: Monday - Friday 8:00am - 5:00pm CST, 9:00am - 6:00pm CST, 10:00am - 7:00pm CST

Compensation: $17/hr+ (bonus eligible quarterly)

This is a fast-paced, high-volume role where you will be required to handle multiple systems and patient inquiries daily. You will have support from your leadership team to ensure success, and you'll be expected to collaborate with colleagues to improve service delivery.

Benefits and incentives:

• Comprehensive Health Benefits: Choose from a variety of medical, dental, and vision plans designed to support your overall well-being.
• Life & Disability Coverage: Receive company-paid Basic Life and AD&D insurance, short-term and long-term disability coverage, with the option to purchase additional voluntary Life and AD&D benefits.
• 401(k) Retirement Plan: Become eligible to participate in the company's 401(k) plan on the first day of the quarter following three months of continuous employment, with a company match to help you invest in your future.
• Paid Time Off: Begin accruing PTO on your first day of employment, promoting a healthy work-life balance from the start.
• Flexible Benefit Options: Tailor your benefits package with a variety of options to meet your individual and family needs.

GetixHealth is an Equal Opportunity and E-Verify Employer.