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Patient Services Specialist II
ModMedPatient Claim Specialist at ModMed ensuring excellent account support for patients in a modern Healthcare IT environment. Focused on improving patient experience and communication while managing patient claims and inquiries.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates proficiency in managing patient inquiries and account updates while effectively utilizing business software applications. Exhibits strong communication skills and the ability to thrive in a fast-paced call center environment.
Highest-signal resume keywords
Healthcare Administration ExperienceMedical Billing Claims SubmissionBilingual CommunicationPractice Management System ProficiencyStrong Interpersonal Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medical BillingClaims ProcessingPatient Account ManagementInsurance UpdatesData Entry
Soft Skills
Strong CommunicationInterpersonal SkillsTime ManagementTeam CollaborationCalm Under Pressure
Tools & Technologies
ExcelWordPowerPointPractice Management Software
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
Patient Balance InquiriesInsurance CarriersMedicareHMOsPPOs
About the role
Key responsibilities & impact- Serve as primary contact for all inbound and outbound patient calls regarding patient balance inquiries, claims processing, insurance updates, and payment collections
- Initiate outbound calls to patients of RCM clients to understand and address any account/payment issues, such as demographic and insurance updates
- Input and update patient account information and document calls into the Practice Management system
- Other duties as required to support and enhance our customer/patient-facing activities
Requirements
What you’ll need- High School Diploma or GED required
- Availability to work 11:30 am - 8:30 pm EST OR 12:00 pm to 9:00 pm EST
- Manage/ field 60+ inbound calls per day
- Bilingual is preferred
- Minimum of 1-2 years of previous healthcare administration or related experience required
- Basic understanding of medical billing claims submission process and working with insurance carriers required (e.g., Medicare, private HMOs, PPOs)
- Proficient knowledge of business software applications such as Excel, Word, and PowerPoint
- Strong communication and interpersonal skills with an emphasis on the ability to work effectively over the telephone
- Ability and openness to learn new things
- Ability to work effectively within a team in order to create a positive environment
- Ability to remain calm in a demanding call center environment
- Professional demeanor required
- Ability to effectively manage time and competing priorities
Benefits
Comp & perks- Comprehensive medical, dental, and vision benefits, including a company Health Savings Account contribution
- 401(k): ModMed provides a matching contribution each payday of 50% of your contribution deferred on up to 6% of your compensation
- After one year of employment with ModMed, 100% of any matching contribution you receive is yours to keep
- Generous Paid Time Off and Paid Parental Leave programs
- Company paid Life and Disability benefits
- Flexible Spending Account
- Employee Assistance Programs
- Company-sponsored Business Resource & Special Interest Groups that provide engaged and supportive communities within ModMed
- Professional development opportunities, including tuition reimbursement programs and unlimited access to LinkedIn Learning
- Global presence and in-person collaboration opportunities; dog-friendly HQ (US)
- Hybrid office-based roles and remote availability for some roles
- Weekly catered breakfast and lunch
- Treadmill workstations
- Zen and wellness rooms within our BRIC headquarters