Experienced Customer Service Specialist I – Healthcare Revenue Cycle Support

At arenaflex, we're dedicated to delivering exceptional patient care and administrative support to our esteemed healthcare partners. As a leading provider of administrative and clinical support staff, we're seeking a highly skilled and compassionate Customer Service Specialist I to join our team. This is an exciting opportunity to grow your career as part of our Revenue Cycle Career Ladder, working with one of the largest multi-specialty practices in the Northeast.

About arenaflex

arenaflex is a top healthcare provider network, committed to providing our clients with excellent customer service while maintaining a productive environment for all employees. Our team is passionate about delivering high-quality support services, and we're looking for like-minded professionals to join our ranks.

Job Summary

As a Customer Service Specialist I, you'll play a vital role in handling and resolving incoming phone calls from patients, insurance carriers, and physician offices. Your primary responsibilities will include collections of outstanding patient balances, establishing payment arrangements, and updating patient and guarantor accounts with new demographic and insurance coverage information. You'll work closely with our team to ensure seamless communication and exceptional patient care.

Key Responsibilities

• Handle a large volume of calls and perform work in a timely manner, maintaining a professional and courteous demeanor at all times.

• Attempt to collect full payment from patients or guarantors in a professional and courteous manner, establishing payment arrangements per guidelines and documenting terms in our billing system.
• Apply payments collected over the phone to each date of service, ensuring accurate and timely processing.
• Handle customer inquiries, disputes, and complaints, escalating contentious complaints to your supervisor or higher management as needed.
• Obtain all insurance, demographic, and guarantor information, updating patient profiles and billing third-party payers as appropriate.
• Clearly document all work and follow-up steps in our system after each call, ensuring seamless communication and efficient workflow.

Essential Qualifications

• High school graduate or GED certificate required.

• A minimum of 6 months' experience in a physician billing or third-party payer environment, with a strong understanding of contracts, insurance benefits, exclusions, and other billing requirements.
• Familiarity with claim forms, HMOs, PPOs, Medicare, Medicaid, and compliance program regulations is essential.
• Ability to understand and navigate the payer adjudication process, with a strong attention to detail and analytical skills.
• Experience with patient financial and practice management systems, particularly Epic and/or other electronic billing systems, is preferred.
• Knowledge of medical terminology and previous call center/claims experience are also preferred.

Preferred Qualifications

• Previous experience in an academic healthcare setting, with a strong understanding of the unique challenges and opportunities in this environment.

• Strong communication and interpersonal skills, with the ability to work effectively with patients, insurance carriers, and healthcare providers.
• Ability to work in a fast-paced environment, with a strong attention to detail and ability to prioritize tasks effectively.

Compensation and Benefits

• Hourly rate ranges: $22.39 - $28.29, with salary offers falling within these ranges based on experience, skill set, training, and education.

• Comprehensive benefits package, including healthcare and various other benefits, to promote a healthy lifestyle.
• Paid time off to support work-life balance and employee well-being.

Career Growth Opportunities

• As part of our Revenue Cycle Career Ladder, you'll have opportunities to grow and develop your skills, with clear career paths and professional development opportunities.

• Collaborate with our team to drive innovation and excellence in patient care and administrative support.
• Participate in ongoing training and education to stay up-to-date with the latest industry trends and best practices.

Work Environment and Company Culture

• Primarily remote position, with occasional requirements to visit our office for training, meetings, and other business needs.

• Collaborative and dynamic work environment, with a strong focus on teamwork and communication.
• arenaflex is an equal employment opportunity employer, committed to diversity, equity, and inclusion in all aspects of our business.

How to Apply

If you're a motivated and compassionate professional looking to make a difference in patient care and administrative support, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, to [insert contact information]. We look forward to hearing from you! Apply for this job