Healthcare Customer Service Representative (WI) at Healthcare Business Services I

Village of Pewaukee, Wisconsin, United States -

Full Time

Start Date

Immediate

Expiry Date

04 Jun, 26

Salary

0.0

Posted On

06 Mar, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Customer Service, Billing Inquiry Resolution, Insurance Inquiry Resolution, Inbound Calls, Outbound Calls, Written Communication, Payment Processing, Empathy, Patience, KPI Management, Policy Adherence, Account Documentation, System Navigation, Negotiation, Confidentiality, Typing

Industry

Financial Services

Description

Description RevCycle's Healthcare Business Services business is growing, and we’re excited to welcome new team members! With over 30 years in business, we focus on developing our employees and helping them reach their full potential. Work remotely from an approved private home office location or from our Marshfield, WI office, with opportunities to start immediately or join a late-April training class. We rely heavily on TEXT MESSAGING throughout our selection and onboarding process. To ensure timely communication and faster consideration, make sure you opt in to text messages during your application and complete all required application steps. Position Summary: Delivers exceptional and consistent customer experiences by demonstrating excellence in understanding and resolving requests with patience, empathy, compassion, and sincerity. Handles customer inquiries through inbound and outbound calls as well as written communication. This position exists to effectively manage inquiries and concerns related to billing and insurance with the goal of offering payment options and facilitating the processing of payments. Customer Service Representatives will work in a company office or home office environment. They will operate with minimal management guidance to exceed Key Performance Indicators (number of calls handled/hr., successful payment resolution, and call quality). This role is expected to follow company and client policies, procedures, and applicable laws. Hours: Full Time, Mon-Fri 8:00 AM-5:00 PM CST (9:00 AM-6:00 PM EST) Benefits: Paid Medical insurance includes personalized assistance to select from any qualified options in the marketplace. This enables you to select a plan which is most likely to enable you keeping coverage for things most important to you (i.e., Dr., clinic, meds). Additional options for Dental/Vision, paid short-term disability and life insurance benefits. Generous PTO (3 weeks per year) plus holiday pay and make-up time benefits begin within month three of employment 401K Company shares profits through an annual discretionary bonus which employees can deposit into either their personal account or into their 401k. Responsibilities and Duties: Maintain perfect attendance during training for first six weeks of employment (unless pre-approved prior to start). Responsibly and plan-fully use time off when accrued so that our customers can rely on you to be here for them as scheduled, with rare, unplanned absences. Give full attention and focus to quality delivery of responsibility during scheduled hours of work just as if you were in the office. Maintain and manage a secure and private and personal home office space free of distractions during working hours. Operate with integrity, honesty and transparency in all work-related matters. Personify and exemplify company Core Values and Strategic Anchors which include "Can Do, Selfless and Evolutionary" Take calls from patients, law offices, insurance companies, and other outside facilities to resolve complex billing and insurance issues Make outbound calls and take inbound calls from patients to resolve balances on accounts with a status that may be aging but has not been sent for collections Answer complex billing and insurance questions (i.e. deductibles, co-insurance, co-pays, complex denials and charge disputes, claim resubmissions, eligibility issues, and coding disputes) Review financial information and recommends payment options and/or assistance programs in accordance with client guidelines Manage both common and challenging objections and concerns from consumers Discuss and help consumer think through payment resources and makes necessary referrals to the client Use required scripts/verbatims, skillfully navigating guidelines to maximize potential recovery on each call Maintain working understanding of account requirements, leveraging related documentation and resources as needed Independently and efficiently perform account documentation including notes and codes, making few errors and requiring minimal assistance Skillfully work within multiple internal and client systems May learn and perform other duties and responsibilities as assigned based on business needs Requirements Required Knowledge, Skills and Abilities: Prior work experience on the phones in a call center and healthcare customer service setting is preferred Familiarity with Artiva and Cerner Soarian application is preferred. EPIC is a plus. Working knowledge of medical billing and coding is preferred, certifications welcome (i.e. AAPC Ahima, EPIC, eCN, Artiva, Cerner, FACS). Prior work experience in a medical office and/or general understanding of health insurance is preferred Able to communicate clearly, both verbally and in writing, and utilize proper grammar and telephone etiquette and provided electronic tools Able to navigate multiple computer applications and databases Moderate to advanced computer keyboard typing and navigation skill Able to communicate on the phone and navigate multiple computer systems simultaneously Able to overcome patient objections and obstacles to negotiate payment successfully Reliable and responsible. Arrives on time and uses time productively and efficiently Manages self effectively in a work from home environment, remaining focused on work and delivering required outcomes Possesses and demonstrates professional judgement and operates with client business acumen. Understands sensitive personal information (SPI) and sensitive consumer information (i.e., Protected Health Information (PHI)) and maintains confidentiality of this information Able to use tools provided to compute basic math calculations using addition, subtraction, multiplication, division, and percentages Self-motivation and committed to career success High School Diploma or equivalent (i.e., GED) required Prior supervisory experience is welcome in this growing company Work Environment: Employee works in a company office and/or home office and sits at a desk during regularly scheduled work hours. Employee will work with an online team utilizing screen monitoring and/or video conferencing. Employee answers and makes telephone calls using a computerized telephone; types on a standard keyboard; reads and comprehends information from a computer terminal and/or written resources. Employee may occasionally be required to stand or walk short distances along with bend or twist to access lower and higher desk drawers. Career Path Note: The Customer Service Representative is a fully trained production role in the organization. They are relied upon in all cases to meet and in most cases exceed stated KPIs, goals and objectives. Those who desire may find advancement as a team lead, or in a functional role. These opportunities have unique requirements which are detailed in the respective job descriptions. Employees are also encouraged to work with their department leadership, Human Resources and/or company leadership to discuss and work toward their career goals. Disclaimer: This job description provides a summary of essential job functions and required knowledge, skills, abilities, education, and experience. It may be modified at any time depending on the organization's needs. Management reserves the right to assign or reassign duties and responsibilities to this job at any time. The existence of this job description does not guarantee employment. It is understood that employment is “at will.”

Responsibilities

This role involves delivering exceptional customer experiences by resolving inquiries related to billing and insurance through inbound/outbound calls and written communication, aiming to offer payment options and facilitate payment processing. Representatives must operate with minimal guidance to meet KPIs related to call handling, successful payment resolution, and call quality while adhering to company and client policies.