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Customer Service Specialist I
61st Street Service CorpCustomer Service Specialist I handling patient inquiries and billing collection for 61st Street Service Corporation. Managing large call volumes and updating patient accounts with accurate information.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in patient billing processes, including understanding of insurance contracts, compliance regulations, and the payer adjudication process. Proficient in managing high call volumes while maintaining professionalism and accuracy in documentation.
Highest-signal resume keywords
Patient Billing ExperienceUnderstanding Of Insurance BenefitsPayer Adjudication ProcessEpic Electronic Billing SystemMedical Terminology Knowledge
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Billing DocumentationPayment ArrangementsClaims ProcessingInsurance Information CollectionDispute Resolution
Soft Skills
Professional CommunicationCustomer ServiceProblem Solving
Tools & Technologies
EpicElectronic Billing Systems
Certifications & Qualifications
High School GraduateGED Certificate
Industry Keywords
HMOsPPOsMedicareMedicaidCompliance Program Regulations
About the role
Key responsibilities & impact- Handle large volume of calls and perform work in a timely manner.
- Attempts to collect full payment from patient or guarantor in a professional and courteous manner.
- Establishes payment arrangements per guidelines.
- Documents terms in billing system.
- Applies of payments collected over the phone to each date of service.
- Handles customer inquiries, disputes and complaints.
- Escalates contentious complaints to supervisor or higher management.
- Obtains all insurance, demographic, guarantor information and updates patient profile as well as bill third party payers as appropriate.
- Clearly documents in system summary of work and follow up steps after each call.
Requirements
What you’ll need- High school graduate or GED certificate is required.
- A minimum of 6 months experience in a physician billing or third party payer environment.
- Must demonstrate an understanding of contracts, insurance benefits, exclusions and other billing requirements as well as claim forms, HMOs, PPOs, Medicare, Medicaid and compliance program regulations.
- Candidate must demonstrate the ability to understand and navigate the payer adjudication process.
- Patient financial and practice management system experience in Epic and/or other electronic billing systems is preferred.
- Knowledge of medical terminology is preferred.
- Previous call center/claims experience is preferred.
- Previous experience in an academic healthcare setting is preferred.
Benefits
Comp & perks- Healthcare
- Paid Time off