Experienced Customer Service Specialist I – Healthcare Revenue Cycle Support

At arenaflex, we are dedicated to delivering exceptional customer service and administrative support to our esteemed clients, including ColumbiaDoctors, one of the largest multi-specialty practices in the Northeast. As a Customer Service Specialist I, you will play a vital role in handling and resolving incoming phone calls from patients, insurance carriers, and physician offices, ensuring seamless communication and efficient resolution of patient balances and billing inquiries.

About arenaflex

arenaflex is a leading provider of administrative and clinical support staff for top healthcare providers, including ColumbiaDoctors. Our team is committed to excellence, innovation, and customer satisfaction, and we are proud to offer a dynamic and supportive work environment that fosters growth and development.

Job Summary

The Customer Service Specialist I is responsible for handling and resolving incoming phone calls from patients, insurance carriers, and physician offices, with a focus on collections, payment arrangements, and patient account updates. This role requires exceptional communication and problem-solving skills, as well as a strong understanding of healthcare billing and insurance regulations.

Key Responsibilities

• Handle a large volume of calls and perform work in a timely manner, ensuring efficient resolution of patient balances and billing inquiries.

• Attempt to collect full payment from patients or guarantors in a professional and courteous manner, while adhering to company policies and procedures.
• Establish payment arrangements per guidelines, documenting terms in the billing system and applying payments collected over the phone to each date of service.
• Handle customer inquiries, disputes, and complaints, escalating contentious complaints to a 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 in the system a summary of work and follow-up steps after each call.

Essential Qualifications

• High school graduate or GED certificate is required.

• A minimum of 6 months' experience in a physician billing or third-party payer environment is preferred.
• Must demonstrate an understanding of contracts, insurance benefits, exclusions, and other billing requirements, as well as claim forms, HMOs, PPOs, Medicare, Medicaid, and compliance program regulations.
• Candidate must demonstrate the ability to understand and navigate the payer adjudication process.
• Patient financial and practice management system experience in Epic and/or other electronic billing systems is preferred.
• Knowledge of medical terminology is preferred.
• Previous call center/claims experience is preferred.
• Previous experience in an academic healthcare setting is preferred.

Preferred Qualifications

• Bachelor's degree in a related field, such as healthcare administration or business.

• Experience with patient financial and practice management systems, including Epic and other electronic billing systems.
• Knowledge of medical terminology and coding systems, such as ICD-10 and CPT.
• Previous experience in a revenue cycle or billing environment, with a focus on customer service and collections.

Skills and Competencies

• Excellent communication and interpersonal skills, with the ability to interact with patients, insurance carriers, and physician offices in a professional and courteous manner.

• Strong problem-solving and analytical skills, with the ability to navigate complex billing and insurance regulations.
• Ability to work in a fast-paced environment, with a high volume of calls and deadlines to meet.
• Strong organizational and time management skills, with the ability to prioritize tasks and manage multiple projects simultaneously.
• Ability to maintain confidentiality and handle sensitive patient information with discretion.

Career Growth Opportunities and Learning Benefits

At arenaflex, we are committed to supporting the growth and development of our employees. As a Customer Service Specialist I, you will have opportunities to:

• Participate in ongoing training and education programs, including revenue cycle and billing training.
• Collaborate with experienced professionals in the healthcare industry, gaining valuable insights and expertise.
• Develop your skills and competencies in areas such as customer service, collections, and billing.
• Pursue career advancement opportunities within arenaflex, with a focus on revenue cycle and billing leadership roles.

Work Environment and Company Culture

arenaflex is a dynamic and supportive work environment that fosters growth, innovation, and customer satisfaction. As a Customer Service Specialist I, you will be part of a team that is committed to excellence, with a focus on delivering exceptional customer service and administrative support to our clients.

Compensation, Perks, and Benefits

arenaflex offers a competitive compensation package, including:

• Hourly rate ranges: $22.39 - $28.29
• Comprehensive benefits package, including healthcare and paid time off.
• Opportunities for career advancement and professional growth.
• Collaborative and supportive work environment.

How to Apply

If you are a motivated and customer-focused individual with a passion for healthcare and revenue cycle support, we encourage you to apply for this exciting opportunity. Please submit your resume and cover letter to [insert contact information]. We look forward to hearing from you!

Equal Employment Opportunity

arenaflex is an equal employment opportunity employer and adheres to all requirements of all applicable federal, state, and local civil rights laws. We are committed to creating a diverse and inclusive work environment that values and respects the contributions of all employees. Apply for this job