Customer Service Specialist

RAYUS Radiology is looking for a Customer Service Specialist to join their team, focusing on enhancing the patient experience in radiology. The role involves assisting patients and various stakeholders with medical billing inquiries and ensuring quality service in the Revenue Cycle Management group.

Responsibilities:

• Assists clinics, referring doctors, attorneys, insurance companies and patients/responsible parties with general questions
• Responds to RCM voice mail and email in a timely manner
• Routes telephone calls and mail to appropriate departmental resource for follow up on problem accounts
• Communicates effectively with various departments within Revenue Cycle Management
• Researches explanation of benefits (EOBs) and/or denials in imaging system in order to assist patients and explain balances
• Meets or exceeds team Quality Assurance standards
• Escalates more complex inquiries to Senior Customer Service Specialist for support and resolution
• Faxes itemized statements and letters of protection (LOPs) to attorneys by request ensuring proper authorization is on file
• Updates billing system with updated patient demographic information
• Calls referring doctors, patients, insurance companies, and attorneys to get updated insurance or demographic information on patient accounts
• Researches missed discounts, duplicate charges, reverse collection decisions and insurance denials
• Performs other duties as assigned

Requirements:

• High school diploma or equivalent
• 1-2 years previous customer service experience
• Proficient with using computer systems and typing
• Proficiency with Microsoft Excel, PowerPoint, Word, and Outlook
• Ability to speak Spanish or other languages in addition to English
• Health care experience