Customer Service Specialist II #Full Time
1 month ago
** 61st Street Service Corporation**
** Customer Service Specialist II #Full Time**
Fort Lee, NJ 07024
**The 61st Street Service Corporation**
At 61st Street Service Corporation we are committed to providing our client with excellent customer service while maintaining a productive environment for all employees. The Service Corporation offers a competitive comprehensive Benefit package to eligible employees; including Healthcare and various other benefits including Paid Time off to promote a healthy lifestyle.
We are an equal employment opportunity employer and we adhere to all requirements of all applicable federal, state, and local civil rights laws.
**Job Summary:**
The Customer Service Specialist II is responsible for handling and resolving incoming phone calls from patients, insurance carriers and or physician offices. Responsibilities will include collections of outstanding patient balances, establishing payment arrangements, updating patient and guarantor account with new demographic and insurance coverage information. The Customer Service Specialist II must exhibit professional and courteous behavior at all times during patient and/or client interaction.
**Job Responsibilities:**
* Expeditiously handle large volume of calls.
* Attempts to collect full payment from patient or guarantor.
* Establishes payment arrangements per guidelines. Documents terms in billing system.
* Applies of payments collected over the phone to each date of service.
* Handles customer inquiries, disputes and complaints. Escalates contentious complaints to supervisor or higher management.
* Obtains all insurance, demographic, guarantor information and updates patient profile as well as bill third party payers as appropriate.
* Performs other job duties as required and assigned.
**Job Qualifications:**
* High school graduate or GED certificate is required.
* A minimum of 1 years experience in a physician billing or third party payer environment.
* 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 of electronic billing systems is preferred.
* Knowledge of medical terminology is preferred.
* Previous call center/claims experience in an academic healthcare setting is preferred.
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