Healthcare Customer Service Representative (Remote, WI)

RevCycle is growing, and we're excited to welcome new team members! With over 30 years in business, we focus on developing our employees and helping them reach their full potential. Work remotely or from our Marshfield, WI office, with opportunities to start in our early June training class.

Position Summary:

• Delivers exceptional and consistent customer experiences by demonstrating excellence in understanding and resolving requests with patience, empathy, compassion, and sincerity. Handles customer inquiries through inbound and outbound calls as well as written communication.
• This position exists to effectively manage inquiries and concerns related to billing and insurance with the goal of offering payment options and facilitating the processing of payments. Customer Service Representatives will work in a company office or home office environment. They will operate with minimal management guidance to exceed Key Performance Indicators (number of calls handled/hr., successful payment resolution, and call quality). This role is expected to follow company and client policies, procedures, and applicable laws.

Hours: Full Time, Mon-Fri 8:00 AM-5:00 PM CST (9:00 AM-6:00 PM EST)

Benefits:

• Paid Medical insurance includes personalized assistance to select from any qualified options in the marketplace. This enables you to select a plan which is most likely to enable you keeping coverage for things most important to you (i.e., Dr., clinic, meds).
• Additional options for Dental/Vision, paid short-term disability and life insurance benefits.
• Generous PTO (3 weeks per year) plus holiday pay and make-up time benefits begin within month three of employment
• 401K
• Company shares profits through an annual discretionary bonus which employees can have in full or deposit (some or all) into their 401k.

Essential Duties and Responsibilities:

• Take calls from patients, law offices, insurance companies, and other outside facilities to resolve complex billing and insurance issues
• Make outbound calls and take inbound calls from patients to resolve balances on accounts with a status that may be aging but has not been sent for collections
• Answers complex billing and insurance questions (i.e. deductibles, co-insurance, co-pays, complex denials and charge disputes, claim resubmissions, eligibility issues, and coding disputes)
• Reviews financial information and recommends payment options and/or assistance programs in accordance with client guidelines
• Manages both common and challenging objections and concerns from consumers
• Discusses and helps consumer think through payment resources and makes necessary referrals to the client
• Uses required scripts/verbatims, skillfully navigating guidelines to maximize potential recovery on each call
• Maintains working understanding of account requirements, leveraging related documentation and resources as needed
• Independently and efficiently performs account documentation including notes and codes, making few errors, requiring minimal assistance
• Skillfully works within both internal and client systems
• Adheres to company Core Values and Strategic Anchors
• May learn and perform other duties and responsibilities as assigned based on business needs

Requirements

Required Knowledge, Skills and Abilities:

• Prior work experience in a call center and healthcare customer service setting is preferred
• Familiarity with Artiva and Cerner Soarian application is preferred. EPIC is a plus.
• Working knowledge of medical billing and coding is preferred
• Prior work experience in a medical office and/or general understanding of health insurance is preferred
• Able to communicate clearly, both verbally and in writing, and utilize proper grammar and telephone etiquette and provided electronic tools
• Able to navigate multiple computer applications and databases
• Moderate to advanced computer keyboard typing and navigation skill
• Able to communicate on the phone and navigate multiple computer systems simultaneously
• Able to overcome patient objections and obstacles to negotiate payment successfully
• Reliable and responsible. Arrives on time and uses time productively and efficiently
• Manages self effectively in a work from home environment, remaining focused on work and delivering required outcomes
• Possesses and demonstrates professional judgement and operates with client business acumen.
• Understands sensitive personal information (SPI) and sensitive consumer information (i.e., Protected Health Information (PHI)) and maintains confidentiality of this information
• Able to use tools provided to compute basic math calculations using addition, subtraction, multiplication, division, and percentages
• Self-motivation and committed to career success
• High School Diploma or equivalent (i.e., GED) required
• Prior supervisory experience is welcome in this growing company
• Ability to successfully pass criminal, employment history and other validation and onboarding requirements are necessary to begin and maintain employment.
• Nothing in this posting is intended to jeopardize the at will status of any employment relationship with the company
• EOE