At arenaflex, we're dedicated to delivering exceptional customer service to our clients while fostering a productive and inclusive work environment for our employees. As a Customer Service Specialist I, you'll play a vital role in supporting our healthcare revenue cycle operations, ensuring seamless communication with patients, insurance carriers, and physician offices.
**About arenaflex**
arenaflex is a leading provider of administrative and clinical support services to top healthcare organizations, including ColumbiaDoctors, one of the largest multi-specialty practices in the Northeast. Our team of experienced professionals is committed to delivering high-quality services that meet the evolving needs of our clients and patients.
**Job Summary**
We're seeking an experienced Customer Service Specialist I to join our team, providing exceptional customer service and support to patients, insurance carriers, and physician offices. As a key member of our revenue cycle team, you'll be responsible for handling and resolving incoming phone calls, collecting outstanding patient balances, establishing payment arrangements, and updating patient and guarantor accounts with new demographic and insurance coverage information.
**Key Responsibilities**
* Handle a large volume of calls and perform work in a timely manner, ensuring seamless communication with patients, insurance carriers, and physician offices.
* Attempt to collect full payment from patients or guarantors in a professional and courteous manner, adhering to established guidelines and protocols.
* Establish payment arrangements, documenting terms in our billing system and applying payments collected over the phone to each date of service.
* Handle customer inquiries, disputes, and complaints, escalating contentious issues to supervisors or higher management as needed.
* Obtain and update all insurance, demographic, and guarantor information, ensuring accurate patient profiles and bill third-party payers as appropriate.
* Clearly document work and follow-up steps in our system after each call, ensuring seamless communication and collaboration with our team.
**Essential Qualifications**
* High school graduate or GED certificate is required.
* A minimum of 6 months' experience in a physician billing or third-party payer environment, with a strong understanding of contracts, insurance benefits, exclusions, and other billing requirements.
* Demonstrated ability to understand and navigate the payer adjudication process, with a strong knowledge of claim forms, HMOs, PPOs, Medicare, Medicaid, and compliance program regulations.
* Strong communication and interpersonal skills, with the ability to work effectively with patients, insurance carriers, and physician offices.
**Preferred Qualifications**
* Patient financial and practice management system experience in Epic and/or other electronic billing systems.
* Knowledge of medical terminology and previous call center/claims experience.
* Previous experience in an academic healthcare setting, with a strong understanding of the unique challenges and opportunities in this environment.
**Career Growth Opportunities and Learning Benefits**
At arenaflex, we're committed to supporting the growth and development of our employees. As a Customer Service Specialist I, you'll have opportunities to:
* Develop your skills and expertise in revenue cycle operations, with training and support from our experienced team.
* Collaborate with our team to identify and implement process improvements, ensuring seamless communication and collaboration with our clients and patients.
* Participate in ongoing education and training programs, staying up-to-date on the latest developments and best practices in revenue cycle operations.
**Work Environment and Company Culture**
arenaflex is a remote-friendly organization, with a flexible and inclusive work environment that supports the needs of our employees. As a Customer Service Specialist I, you'll have the opportunity to work from home, with occasional requirements to visit our office for training, meetings, and other business needs.
**Compensation, Perks, and Benefits**
We offer a competitive hourly rate range of $21.63 - $26.44, with opportunities for growth and advancement based on experience, skill set, and other differentiating factors, including education. Our comprehensive benefit package includes:
* Healthcare and various other benefits, including Paid Time off to promote a healthy lifestyle.
* Opportunities for professional development and growth, with ongoing education and training programs.
**Equal Employment Opportunity**
arenaflex is an equal employment opportunity employer, committed to diversity, equity, and inclusion. We adhere to all requirements of all applicable federal, state, and local civil rights laws, ensuring a fair and inclusive work environment for all employees.
**How to Apply**
If you're a motivated and customer-focused individual with a passion for delivering exceptional service, we encourage you to apply for this exciting opportunity. Please visit our website to learn more about our company culture and values, and to submit your application.
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