Call Center Representative-Remote TX Resident (1395)

Job DetailsLevel: ExperiencedJob Location: Remote Worker - Houston, TX 77030Position Type: Full TimeEducation Level: High School/GEDJob Category: Health Care The Customer Service Representativeis responsible forhandling patient and payer inquiriesregardingmedical billing, insurance claims, and account resolutions. This role ensures a positive patient's financial experience by providingtimely, professional, andaccurateresponses to billing-related concerns. The Customer Service Representative works under the direction of the Revenue Cycle Manager PatientAR tosupport revenue cycle operations and enhance the efficiency of billing processes. Essential Duties and Responsibilities Handle inbound and outbound callsregardingpatient balances, insurance claims, and billing inquiries. Provide clear and empathetic explanations of charges, payment options, and account statuses. Assistpatients with setting up payment plans and making payments. Research and resolve billing discrepancies, denials, and adjustments. Work with insurance carriers to verify claims status and escalated issues as Maintain a professional and courteous demeanor in all patient interactions. Ensuretimelyand effective resolution of patient and payer concerns. Document all customer interactions accurately in the system. Adhere to HIPAA guidelines and company policiesregardingpatient information security. Follow Fair Debt Collection Practices Act (FDCPA) guidelines when addressing outstanding balances. Work closely with the billing, collections, and revenue cycle teams to improve patient financial engagement. Provide feedback to management on recurring billing issues and recommend solutions. Participate in training and team meetings. Support special projects related to billing and collections. QualificationsQUALIFICATIONS Education & Experience High school diploma or GEDrequired. Minimum of 1 year of experience in healthcare customer service, billing, or insurance claims processing. Skills & Competencies Excellent verbal and written communication skills. Basic knowledge of orthopedic-related coding, medical terminology, and insurance procedures preferred. Proficiencyin Microsoft Office (Excel, Word, Outlook) andAthenasoftware. Ability to handle high call volumes and work in a fast-paced environment. Strong problem-solving and conflict-resolution skills. High attention to detail and ability to follow workflows accurately. Work Environment &Physical Demands: Standard officeenvironment with prolonged periods of sitting and computer use. Occasional high-stress work requiring interaction with upset patients or insurance representatives. Manual dexterityrequiredtooperatea keyboard, calculator, and office equipment. #J-18808-Ljbffr Ortholonestar