Customer Service Specialist - Healthcare (San Antonio, Texas)

Customer Service Specialist

Are you the type of person who loves to solve problems, bring smiles to people's faces, and make a positive impact every day? If so, we want YOU to join our team as a Customer Service Specialist! We look for people who have an internal drive to do a good job whether someone is watching them or not. People who take initiative and know the quality of their work reflects themselves. People who succeed with us tend to be thoughtful, detail-oriented, communicative. They are proactive, professional, responsible, well-spoken and polite. They are accountable to themselves and others.

As a Customer Service Representative at GetixHealth, you will be on the front lines of delivering exceptional service and support to patients and clients. Your primary responsibility is to handle high-volume calls related to billing, payments, medical claims, benefits, and coverage. You'll use established procedures and tools to resolve inquiries efficiently and with empathyensuring both compliance and customer satisfaction in every interaction.

This is a fast-paced, high-impact role, perfect for someone who thrives in a collaborative environment, values precision, and is passionate about helping patients navigate their healthcare journey.

Key responsibilities include:

• Handle 60+ inbound and outbound calls per day regarding billing, payments, medical claims, and coverage questions.
• Respond to telephone inquiries using standard procedures and scripts.
• Gather necessary information, research account details, and resolve customer concerns accurately and promptly.
• Clearly explain billing information, insurance benefits, and available services to patients.
• Assess patient needs and provide appropriate solutions or escalate as necessary.
• Schedule work to ensure optimal call coverage and maintain daily productivity.
• Collaborate with leadership and peers using screen-sharing tools to support real-time problem-solving and performance goals.
• Support department initiatives and contribute to continuous improvement efforts.
• Maintain strict adherence to HIPAA regulations and internal confidentiality policies.
• Assist in planning department goals and recommend improvements to enhance efficiency.
• Perform other duties as assigned to support the team and organizational success.

Education and experience:

• High school diploma or GED required; additional education is a plus.
• 12 years of experience in customer service, ideally in a healthcare, insurance, or medical collections environment.
• Familiarity with Medicaid, Medicare, Workers' Compensation, and liability claims preferred.
• Basic understanding of medical terminology and the healthcare revenue cycle.
• Proven experience working with multiple systems and databases in a fast-paced setting.

Skills and qualities:

• Strong verbal, written, and interpersonal communication skills.
• Excellent problem-solving ability with a calm, empathetic approach.
• High attention to detail and accuracy.
• Ability to work independently and collaboratively to meet and exceed performance targets.
• Comfort using Microsoft Office Suite and adapting to new technologies.
• Bilingual abilities are a plus.

Additional notes:

• Hours: Monday - Friday Various Shifts from: 8am- 5pm, 9am- 6pm, 10am- 7pm, 11am- 8pm
• 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.

Note: This job description outlines the primary duties and qualifications for the role. It is not intended to be an exhaustive list of responsibilities or working conditions.

About GetixHealth:

Founded in 1992, GetixHealth has grown into a leading provider of healthcare revenue cycle management services, with offices across the United States and India. We work with healthcare organizations to optimize their financial performance, offering solutions that enhance efficiency and profitability. Our team of 1,800 dedicated professionals delivers exceptional patient care, compliance, and cutting-edge technology to help clients succeed. With a relentless commitment to patient satisfaction, we ensure that every step of the revenue cycle is streamlined and patient centered.

GetixHealth is an Equal Opportunity and E-Verify Employer.