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Healthcare Customer Support Representative
2 months ago
About Us
WellRithms is a rapidly expanding organization in the United States, at the forefront of revolutionizing healthcare reimbursement. Our goal is to foster transparency within the healthcare sector by equipping payers, patients, and providers with the knowledge they need regarding accurate medical billing payments, utilizing our expertise in data, legal matters, and medical insights. We are committed to combating fraud and abuse in medical billing while offering payors a cost-effective alternative.
Position Summary
The Shield Customer Support Representative is an administrative role that reports directly to the Shield program Manager. This position necessitates effective communication with medical providers, customers, and members of group health plans through various channels including email, fax, and telephone. The representative will be responsible for tracking and documenting inquiries, as well as following up on all outstanding claims and billing files.
Key Responsibilities
- Assist customers and medical providers by checking the status of medical bills and addressing specific inquiries related to healthcare.
- Review client specifications for each Shield eligible claim or bill and perform necessary follow-ups.
- Handle incoming customer calls regarding billing concerns, product issues, service inquiries, and general client questions.
- Interpret and communicate policies and procedures effectively.
- Collaborate with the Bill Review leadership team to remain informed about product knowledge and any changes in client-related workflows and company policies.
- Provide detailed logs of calls and client inquiries to both the internal team and clients.
- Document inquiries from medical providers and clients in the bill review system.
- Manage and prioritize Medical Provider Inquiry email boxes along with other assigned duties.
Qualifications
- High School diploma is required; some college education is preferred.
- A minimum of 2 years of experience in customer service or healthcare-related fields.
- Familiarity with medical terminology, CPT, and DRG billing codes is advantageous.
- Excellent organizational, verbal, written, and interpersonal skills, including professional telephone etiquette.
- Proficient with computers and software applications (MS Word, MS Excel, MS Outlook).
- Ability to prioritize tasks and work independently as well as collaboratively in a team setting.
- Capability to meet deadlines in a fast-paced environment.
Join Us
Become part of a dynamic team dedicated to ensuring payment fairness in the healthcare industry.
