Healthcare Customer Support Specialist
2 weeks ago
Company Overview: CornerStone Staffing is a reputable staffing agency dedicated to connecting talented individuals with leading organizations in the healthcare sector.
Position Title: Medical Customer Service Representative
Compensation: $17/hr - $18/hr based on experience
Work Schedule: Monday - Friday, 8am - 5pm
Location: Initially on-site training followed by remote work
Role Summary: The Medical Customer Service Representative will be responsible for managing inquiries from clients and providers through various communication channels, ensuring adherence to internal protocols and client expectations.
Key Responsibilities:
- Handle incoming and outgoing calls as necessary.
- Contact providers regarding the status of overpayment refund requests.
- Accurately document all relevant information in the Health Information System.
- Process appeals and manage incoming emails and faxes.
- Review offset reports for necessary actions.
- Analyze inquiries from clients and providers to determine the best course of action for resolution.
- Conduct thorough reviews of claim histories to provide accurate information to customers.
- Collaborate with internal departments and management to resolve customer service issues.
- Communicate findings effectively to clients and providers in both written and verbal formats.
- Maintain necessary reports and spreadsheets as required.
- Perform additional duties as assigned.
Qualifications:
- Exceptional communication skills, both verbal and written.
- Prior experience in customer service or call center environments is essential.
- Familiarity with the inpatient and outpatient hospital revenue cycle is required.
- Experience with claims, appeals, and denials management is necessary.
- Proficient in medical terminology, coding, and contract interpretation.
- Strong proficiency in Microsoft Office applications.
Education and Experience:
High school diploma or equivalent is required. Candidates should have a minimum of 2 years of experience in a customer service role within a fast-paced environment, demonstrating strong attention to detail and organizational skills.
Successful candidates will possess a strong customer focus, analytical abilities, and the capability to navigate multiple software systems while working remotely.
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