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Contact Center Specialist
Ventra Health. Answer incoming calls regarding patient medical bills, insurance, Explanation of Benefits (EOB) forms, and bill payment arrangements .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in patient billing processes, including knowledge of Explanation of Benefits, ICD-10, and CPT Codes. Excels in providing exceptional customer service while effectively managing inquiries and collaborating with internal departments.
Highest-signal resume keywords
Customer Service ExperienceKnowledge of Explanation of BenefitsICD-10 and CPT Codes KnowledgeStrong Communication SkillsHealthcare Call 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
Mathematical SkillsWord Processing SkillsSpreadsheet SkillsDatabase Software SkillsInsurance Plan Knowledge
Soft Skills
Time Management SkillsOrganizational SkillsInterpersonal Communication SkillsAbility to Work in a Team EnvironmentFlexibility
Certifications & Qualifications
Associate's Degree
Industry Keywords
Patient BillingInsurance DenialsFast Paced EnvironmentState/Federal LawsQuality Guidelines
About the role
Key responsibilities & impact- Answer incoming calls regarding patient medical bills, insurance, Explanation of Benefits (EOB) forms, and bill payment arrangements
- Utilize multiple internal systems to assist with overall patient billing needs
- Provide exceptional customer service to callers
- Troubleshoot billing inquiries and explain benefit coverages, courses of action, and timeframes
- Ensure proper documentation, recording, and closure of issues
- Collaborate with internal departments to research insurance denials, missing payments, and attorney requests
- Perform special projects and other duties as assigned
Requirements
What you’ll need- Associate's degree (2 years), required
- Bachelor's degree in any related field, preferred
- One (1) year of customer service experience in a high volume, fast paced environment
- Healthcare call center experience preferred
- Fluency in English
- Knowledge of the Explanation of Benefits
- Knowledge of a variety of insurance plans
- Knowledge of ICD-10 and CPT Codes
- Strong word processing, spreadsheet, and database software skills
- Strong mathematical skills in addition, subtraction, multiplication and division of whole numbers and fractions; computing percentages; and working with decimals
- Strong oral, written, and interpersonal communication skills
- Strong time management skills
- Strong organizational skills
- Strong customer service skills
- Ability to understand, analyze, interpret, and explain complex documents
- Ability to work in a team environment
- Ability to adhere to standards and quality guidelines
- Ability to read, understand, and apply state/federal laws, regulations, and policies
- Ability to remain flexible and work within a collaborative and fast paced environment
- Ability to communicate with diverse personalities in a tactful, mature, and professional manner
Benefits
Comp & perks- Ventra performance-based incentive plan
- Discretionary incentive bonus in accordance with company policies
- Referral bonus
- Reasonable accommodations for qualified individuals with disabilities