Customer Service Representative Specialist

Job Overview
Are you an experienced call center CSR with a solid work history, strong work ethics, and a proven track record of success? Are you articulate, initiative-taking, and possess proficient telephone etiquette?

If you’ve answered “yes”, we want to hear from you!

As a CSR for our Patient Financial Services (PFS) division, your primary responsibility is to assist patients in understanding and resolving their outstanding healthcare bills. You will be tasked with communicating account information, updating insurance and billing claims, establishing payment solutions, and resolving disputes for medical facilities in a high volume, inbound/outbound, friendly, and relaxed call center environment.

We are seeking mature individuals who can work effectively in a fast paced, goal-oriented environment, demonstrate persistence and a sense of urgency to resolve all outstanding balances, and be valuable team members. In addition, individuals who are successful in remaining calm and composed while also displaying a professional and compassionate tone during difficult customer interactions. Those who can remain focused and attentive to answering patient inquiries, listen to patient complaints to resolve specific issues, and move quickly to the next call will excel in this position and recognized for their hard work and performance.

We are interested in candidates who desire long-term employment, who can provide a proven history of customer service in any healthcare field or provide solid references from prior supervisors in the insurance/medical field and desire to be part of a self-motivated team. RMC offers a relaxed working environment, casual attire, and company benefits.

Primary Responsibilities

• Process patient billing inquiries include explaining charges, services, and insurance coverage details to patients or their representatives.
• Verify patient insurance eligibility and benefits, ensuring accurate billing, and address claim denials.
• Identify & explain patient’s out of pocket responsibilities.
• Facilitate payment plans and/or financial assistance programs for patients unable to pay their bills in full.
• Identifying and correcting billing errors or discrepancies.
• Coordinate with healthcare providers and insurance companies to resolve claims issues.
• Timely manage the collection of unpaid accounts.
• Daily monitoring of patient account activity via work queues and schedules.
• Managing your patient contacts through an Inbound/outbound dialer system.
• Timely research patient disputes and inquiries.
• Meet and exceed personal and departmental goals.
• Full compliance with all federal and state laws; adherence to RMC policies and procedures; and observance of client specific insurance and healthcare requirements.

Skill sets are we looking for:

• Healthcare billing & Insurance knowledge and background.
• Strong problem solving and analytical skills.
• Strong aptitude to work on multiple systems simultaneously – including electronic health record billing systems, collections systems, payments systems, Microsoft office, etc. If you have no experience in one or more of the listed systems, you must be able to demonstrate quick adaptation to computer systems.
• Excellent customer service, telephone, and listening skills. Must be articulate and professional.
• Demonstrate the ability to work successfully independently with minimum supervision.

Rewarded “Plus” Skills

• Spanish speaking
• EPIC health record system and/or Ontario FACS collections software
• Extensive claims processing and/or medical billing experience with proven references
• Over 5 documented years in a call center environment for 1st or 3rd party collections and/or front office medical billing experience.

Benefits

RMC’s employees are our most important asset; therefore, we work hard to make each member of our organization feel supported and encouraged to have a healthy work-life balance.

RMC offers the following benefits, many after successful completion of probationary period:

• Starting wage $19.00/hr. with potential increase for “plus” skill set
• Monday through Friday daytime work schedule (subject to change)
• Medical, dental, vision, and life insurance offered.
• 401k with a company match
• Paid time off accrual
• Paid Holidays after success
• Employee Referral Program up to $500
• Many RMC sponsored events, always coffee in the mornings!

Job Type: Full-time

Pay: From $19.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Paid time off
• Referral program
• Vision insurance

Shift:

• Day shift
• Morning shift

Work Location: In person

Salary : $19