Medical Customer Service Representative
Currance
full-time
Posted on:
Location Type: Remote
Location: Arizona • California • United States
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Salary
💰 $15 - $20 per hour
About the role
- Answer incoming calls and emails from patients addressing billing inquiries, resolve patient complaints, and provide detailed information pertaining to medical services and policies.
- Process patient billing inquiries, explain charges, insurance coverage, payment options, and facilitate resolution of billing discrepancies.
- Update and maintain accurate patient records within the customer’s system ensuring confidentiality and compliance with HIPAA regulations.
- Escalate patient complaints to leadership or the client as applicable.
- Notify patients of outstanding patient responsibility balances.
- Explain, with confidence, estimates of the services provided.
- Validate patient coverage and benefits as needed using tools such as payer portals.
- Participate and attend required team meetings, working sessions, and coaching meetings.
- Escalate unresolved billing issues, reimbursement delays, and trends to leadership.
- Achieve maximum reimbursement for services provided.
- Other job duties as assigned.
Requirements
- High school diploma or equivalent.
- Prior experience as a customer service representative or equivalent, ideally within the healthcare industry.
- Knowledge of explanation of benefits (EOB), revenue collection, filling a claim, and patient medical records.
- Knowledge of insurance reimbursement policies and procedures.
- Knowledge of third-party operating procedures, regulations, and billing requirements as well as government reimbursement programs.
- Strong organizational skills, multitasking, and adhering to deadlines.
- Strong written and verbal communication skills.
- Ability to proactively solve problems.
- Knowledge of computer applications such as Microsoft Office, Teams, Zoom/Webex.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
billing inquiriespatient records managementinsurance reimbursement policiesexplanation of benefits (EOB)revenue collectionclaim filingthird-party operating proceduresgovernment reimbursement programs
Soft Skills
organizational skillsmultitaskingadhering to deadlineswritten communicationverbal communicationproblem-solving
Certifications
high school diploma