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Customer Service Specialist II
61st Street Service Corp. Handle and resolve incoming phone calls from patients, insurance carriers and/or physician offices .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in handling patient inquiries and billing processes, with a strong understanding of insurance benefits and compliance regulations. Proficient in utilizing electronic billing systems and managing payment arrangements effectively.
Highest-signal resume keywords
Physician Billing ExperienceInsurance Benefits KnowledgeEpic System ProficiencyClaim Forms UnderstandingCall Center Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Payment Arrangement DocumentationPayer Adjudication ProcessMedical Terminology KnowledgeBilling System ExperienceInsurance Information Updating
Soft Skills
Customer ServiceConflict ResolutionCommunication Skills
Tools & Technologies
EpicElectronic Billing Systems
Certifications & Qualifications
High School GraduateGED Certificate
Industry Keywords
HMOsPPOsMedicareMedicaidCompliance Program Regulations
About the role
Key responsibilities & impact- Handle and resolve incoming phone calls from patients, insurance carriers and/or physician offices
- Handle a large volume of calls expeditiously
- Attempt to collect full payment from patients or guarantors
- Establish payment arrangements according to guidelines
- Document payment arrangement terms in the billing system
- Apply payments collected over the phone to each date of service
- Handle customer inquiries, disputes and complaints
- Escalate contentious complaints to a supervisor or higher management
- Obtain and update insurance, demographic and guarantor information
- Update patient profiles and bill third-party payers as appropriate
- Perform other assigned duties
Requirements
What you’ll need- High school graduate or GED certificate is required
- A minimum of 1 year's experience in a physician billing or third party payer environment
- Understanding of contracts, insurance benefits, exclusions and other billing requirements
- Knowledge of claim forms, HMOs, PPOs, Medicare, Medicaid and compliance program regulations
- 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
- Must reside in the Tri-State area
Benefits
Comp & perks- Competitive comprehensive benefit package for eligible employees
- Healthcare
- Paid time off
- Opportunity to grow as part of a Revenue Cycle Career Ladder