Patient Claims Specialist

2 weeks ago

Boca Raton, Florida, United States Modernizing Medicine Full time
Join Our Team as a Patient Claims Specialist

We are seeking a highly motivated and detail-oriented Patient Claims Specialist to join our Revenue Cycle Management team. As a critical member of our team, you will play a pivotal role in shaping a positive patient experience by ensuring their account needs are met excellently.

Your Role:
  • Serve as primary contact for all inbound and outbound patient calls regarding patient balance inquiries, claims processing, insurance updates, and payment collections
  • Initiate outbound calls to patients of RCM clients to understand and address any account/payment issues, such as demographic and insurance updates
  • Input and update patient account information and document calls into the Practice Management system
  • Special Projects: Other duties as required to support and enhance our customer/patient-facing activities
Requirements:
  • High School Diploma or GED required
  • Ability to commute to our Boca Raton, Florida headquarters on a hybrid basis (Tues, Wed, Thurs)
  • Minimum of 1-2 years of previous healthcare administration or related experience required
  • Basic understanding of medical billing claims submission process and working with insurance carriers required (e.g., Medicare, private HMOs, PPOs)
  • Manage/field 60+ inbound calls per day
  • Bilingual a plus (Spanish & English)
  • Proficient knowledge of business software applications such as Excel, Word, and PowerPoint
  • Strong communication and interpersonal skills with an emphasis on the ability to work effectively over the telephone
  • Ability and openness to learn new things
  • Ability to work effectively within a team in order to create a positive environment
  • Ability to remain calm in a demanding call center environment
  • Professional demeanor required
  • Ability to effectively manage time and competing priorities
Benefits:
  • Comprehensive medical, dental, and vision benefits, including a company Health Savings Account contribution
  • 401(k): ModMed provides a matching contribution each payday of 50% of your contribution deferred on up to 6% of your compensation
  • Generous Paid Time Off and Paid Parental Leave programs
  • Company paid Life and Disability benefits, Flexible Spending Account, and Employee Assistance Programs
  • Company-sponsored Business Resource & Special Interest Groups that provide engaged and supportive communities within ModMed
  • Professional development opportunities, including tuition reimbursement programs and unlimited access to LinkedIn Learning
  • Global presence and in-person collaboration opportunities; dog-friendly HQ (US), Hybrid office-based roles and remote availability for some roles
  • Weekly catered breakfast and lunch, treadmill workstations, Zen, and wellness rooms within our BRIC headquarters

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