Healthcare Customer Support Specialist

2 weeks ago

Fort Worth, Texas, United States CornerStone Staffing Full time

Company Overview: CornerStone Staffing is dedicated to providing exceptional staffing solutions in the healthcare sector.

Position Title: Medical Customer Service Representative

Compensation: $16-$17 per hour, based on experience

Work Schedule: Monday to Friday, 8 AM to 5 PM

Location: On-site position in a dynamic healthcare environment

Role Overview: The Medical Customer Service Representative is responsible for managing inquiries from clients and providers through various communication channels, ensuring adherence to internal protocols and client specifications.

Key Responsibilities:

  • Handle incoming calls and initiate outbound communications as necessary.
  • Contact providers regarding the status of overpayment refund requests.
  • Document all relevant account details in the Health Information System.
  • Process appeals and manage incoming emails and faxes.
  • Review offset reports and analyze client and provider inquiries to determine the best course of action for resolution.
  • Conduct thorough reviews of claim histories to guarantee accurate information is conveyed to both internal and external stakeholders.
  • Collaborate with internal departments and management to resolve customer service inquiries effectively.
  • Communicate findings to clients and providers clearly, both in writing and verbally.
  • Maintain necessary reports and spreadsheets as required.
  • Perform additional duties as assigned.

Qualifications:

  • Exceptional verbal and written communication skills.
  • Prior experience in customer service or call center environments is essential.
  • Familiarity with inpatient and outpatient hospital revenue cycles is required.
  • Experience with claims, appeals, and denials management is necessary.
  • Knowledge of medical terminology, coding, and contract interpretation is preferred.
  • Proficiency in Microsoft Office applications.

Education and Experience:

  • High school diploma or equivalent is required.
  • A minimum of 2 years of experience in a customer service role within a fast-paced environment.
  • Strong attention to detail and organizational skills, with the ability to analyze and resolve issues effectively.
  • Demonstrated customer focus, analytical thinking, and decision-making capabilities.
  • Technical proficiency with the ability to navigate multiple software systems.

This role offers an opportunity to contribute to a leading healthcare organization while developing valuable skills in customer service and healthcare operations.

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