Medical Billing- Customer Service Representative I

POSITION SUMMARY:

A dedicated resource within the Medical Billing Department for answering customer inquiries, specifically medical providers for information regarding submission and payment of medical bills. Serves as Chesapeake Employers’ “front-line” to the customer in order to provide timely, accurate and courteous responses to their inquiries.

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DUTIES AND RESPONSIBILITIES:

 Provides first contact resolution to external customer inquiries received by phone. Applies call techniques, protocols and knowledge of workers compensation insurance, along with the Medical Billing Department’s Standard Operating Procedures, company organizational structure and individual operation roles in the process of supporting both customers and internal business partners.

 Responds to inquiries from claimants, medical providers and other Chesapeake Employers personnel regarding the payment for services provided under workers’ compensation.

 Analyze data to resolve customer inquiries.

 Communicates with medical providers, when necessary, regarding the payment or denial of payment of bills.

 Facilitates outbound calls to service providers.

 Manages the Customer Service box and spreadsheet/Excel function.

 Sorts, processes and sends out provider faxes.

 As an employee of Chesapeake Employers’, must safeguard the privacy and security of our clients' information. This means following Chesapeake Employers privacy and information security policies and procedures. If you notice any unusual or suspicious activity, you must report it immediately. As part of your normal job duties, you may come across sensitive or confidential information and are responsible for keeping our data secure and confidential.

 Actively supports the company strategies and department goals by accomplishing tasks as assigned.

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SKILLS, EDUCATION AND EXPERIENCE:

 A High School Diploma or equivalent is required, two or more years of college is preferred.

 2 to 3 years as medical bill processor or adjudicator, preferred.

 One year of Customer Service experience in insurance or health industry is preferred.

 Excellent verbal and written communication skills required.

 Basic skill in claims or Medical Billing systems applications required.

 Basic PC skills required with a knowledge of MS Office Suite (Outlook, Teams, Word, Excel) is preferred.

 Bi-lingual preferred.

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POSITIONAL COMPETENCIES:

 Bias for Action

 Knowledge Sharing

 Deliver Results  Service and Sales Excellence

 Personal Leadership

 Teamwork and Communication

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PHYSICAL DEMANDS:

While performing the duties of this job, the employee is regularly required to sit, use hands to finger, handle or feel objects, tools or controls; reach with hands and arms. The employee is occasionally required to stand, walk, stoop, kneel, crouch or crawl. The employee may occasionally lift up to 30 pounds. Specific vision abilities are required, which includes close vision, peripheral vision and the ability to adjust focus.

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WORK ENVIRONMENT:

Office Environment. The noise level is usually moderate.

Job Type: Full-time

Pay: $20.42 - $25.53 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible schedule
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Parental leave
• Professional development assistance
• Referral program
• Retirement plan
• Tuition reimbursement
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Work setting:

• Hybrid work

Ability to Relocate:

• Towson, MD 21286: Relocate before starting work (Required)

Work Location: Hybrid remote in Towson, MD 21286