Customer Service Specialist II #Full Time

The 61st Street Service Corporation provides administrative and clinical support staff for ColumbiaDoctors, a large multi-specialty medical practice. The Customer Service Specialist II handles and resolves incoming calls from patients, insurance carriers, and physician offices while collecting balances, arranging payments, and updating patient and guarantor account information.

Responsibilities:

• Expeditiously handle large volume of calls
• Attempts to collect full payment from patient or guarantor
• Establishes payment arrangements per guidelines. Documents terms in billing system
• Applies of payments collected over the phone to each date of service
• Handles customer inquiries, disputes and complaints. Escalates contentious complaints to supervisor or higher management
• Obtains all insurance, demographic, guarantor information and updates patient profile as well as bill third party payers as appropriate
• Performs other job duties as required and assigned

Requirements:

• High school graduate or GED certificate is required
• A minimum of 1 years' experience in a physician billing or third party payer environment
• Must demonstrate an understanding of contracts, insurance benefits, exclusions and other billing requirements as well as claim forms, HMOs, PPOs, Medicare, Medicaid and compliance program regulations
• Candidate must demonstrate the ability to understand and navigate the payer adjudication process
• Patient financial and practice management system experience in Epic and or other of electronic billing systems is preferred
• Knowledge of medical terminology is preferred
• Previous call center/claims experience in an academic healthcare setting is preferred
• Previous call center/claims experience is preferred
• Previous experience in an academic healthcare setting is preferred