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SalaryCustomer Service Specialist - Healthcare / Medical - New Jersey
This position is temporarily a hybrid role due to Covid-19 and is currently requiring working on-site 2 days per week. The first 3-4 weeks may require additional days due to job training. Please note that this schedule may change at any time due to business needs.
A progressive company servicing a large faculty practice at a prestigious NYC Medical Center is seeking experienced Customer Service representatives, experience in healthcare to work in its Fort Lee, NJ office. Responsibilities include handling and resolving incoming inquiries from patients, insurance carriers and or physician offices. The representative will utilize ColumbiaDoctors’ practice management system to review and update patient accounts accordingly as well as correct billing issues and reprocess claims on the patient’s behalf.
The central business office is located in Fort Lee, NJ. For commuters from NYC, free shuttle service is available between 167th & 169th Streets & Broadway in NYC and our Fort Lee office location. Discounted parking is also available near our New Jersey office. The hours for this position is 10 am - 6 pm.
Responsibilities and Duties
- Handling large volume of patient calls, address and follow up in a timely manner as well as ensure patient return calls are completed within the same business day
- Knowledge in billing and insurance remittance and reimbursement for professional claims
- Responds to and resolves a variety of account, billing and patient issues from patients and customers
- Collects, review, discusses and documents demographic, insurance and financial information with patients
- Identifying and assessing customers’ needs to achieve satisfaction
- Handle customer complaints, provide appropriate solutions and alternatives within the time limits
- Obtain all insurance information, update registration in EPIC, informing patients of insurance and billing protocols.
- Maintains a thorough working knowledge of all aspects of billing and collections including billing rules and regulations, collection practices, electronic billing processes, CMS 1500 requirements, diagnosis and procedure coding, and applicable county, state, and federal requirements.
- Addresses incoming correspondence and prepares correspondence to insurance companies, patient and/or guarantor, as necessary.
- Assists with claim issues, including accounts that are delinquent, initiates appropriate action and maintains records.
- Contacts insurance companies and/or patient/guarantor through direct contact, letter, or other means of due diligence. Update the on-line system with accurate and complete information.
Qualifications and Skills
- Minimum of 1 year in a physician billing or third party payor environment.
- Customer orientation and ability to adapt/respond to different types of characters
- Excellent communication skills, professional phone manner
- Ability to multi-task, prioritize, and manage time effectively
- Knowledge of contracts, insurance billing requirements and CMS 1500 claim forms, HMOs, PPOs, Medicare, Medicaid and compliance program regulations.
- Functional knowledge of basic computer operation and keyboard functions.
- High school graduate or GED certificate.
- Ability to work independently
- Call Center experience is preferred
Salary: Based on level of position and experience
Job Type: Full-time
Pay: $43,000.00 - $58,000.00 per year
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Shift:
- 8 hour shift
Weekly day range:
- Monday to Friday
Work setting:
- Hybrid work
Education:
- High school or equivalent (Required)
Experience:
- Medical Customer Service: 1 year (Required)
- Call center: 1 year (Required)
Language:
- Spanish (Preferred)
Work Location: Hybrid remote in Fort Lee, NJ 07024
