Experienced Customer Service Specialist I for Leading Healthcare Provider Network – Full-Time Remote Opportunity with Growth Prospects

Introduction to blithequark blithequark is a renowned administrative and clinical support staff provider for one of the largest multi-specialty practices in the Northeast, comprising an experienced group of more than 2,800 physicians, surgeons, dentists, and nurses, offering over 240 specialties and subspecialties. As a trusted partner in the healthcare industry, blithequark is committed to delivering exceptional customer service while maintaining a productive environment for all employees. With a strong focus on employee growth and development, blithequark offers a unique opportunity for professionals to advance their careers in a dynamic and supportive setting. Job Summary The Customer Service Specialist I role at blithequark is an exciting opportunity for customer-focused individuals to join a leading healthcare provider network. As a Customer Service Specialist I, you will be responsible for handling and resolving incoming phone calls from patients, insurance carriers, and physician offices, providing exceptional customer service and support to ensure a positive experience for all stakeholders. This role is primarily remote, with occasional requirements to visit the office for training, meetings, and other business needs, and is an excellent chance for those residing in the Tri-State area to join a reputable organization with a strong commitment to employee satisfaction and career growth. Key Responsibilities Handle a large volume of calls and perform work in a timely manner, ensuring that all customer inquiries and concerns are addressed promptly and professionally. Attempt to collect full payment from patients or guarantors in a professional and courteous manner, establishing payment arrangements per guidelines and documenting terms in the billing system. Apply payments collected over the phone to each date of service, ensuring accurate and efficient processing of transactions. Handle customer inquiries, disputes, and complaints, escalating contentious complaints to supervisors or higher management as needed, and providing clear and concise documentation of all interactions. Obtain and update insurance, demographic, and guarantor information, ensuring that patient profiles are accurate and up-to-date, and billing third-party payers as appropriate. Clearly document in the system a summary of work and follow-up steps after each call, maintaining accurate and detailed records of all customer interactions. Essential Qualifications To be successful in this role, you will need to possess a high school graduate or GED certificate, as well as a minimum of 6 months' experience in a physician billing or third-party payer environment. You should 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. The ability to understand and navigate the payer adjudication process is also essential, along with excellent communication and customer service skills. Preferred Qualifications While not essential, experience with patient financial and practice management systems, such as Epic, and/or other electronic billing systems, is highly desirable. Knowledge of medical terminology is also preferred, along with previous call center/claims experience and experience in an academic healthcare setting. If you have a strong background in customer service and a passion for delivering exceptional support, we encourage you to apply for this exciting opportunity. Skills and Competencies To excel in this role, you will need to possess excellent communication and interpersonal skills, with the ability to work effectively in a fast-paced environment. You should be highly organized and able to prioritize tasks efficiently, with a strong focus on attention to detail and accuracy. The ability to work independently and as part of a team is also essential, along with a strong commitment to delivering exceptional customer service and support. Career Growth Opportunities At blithequark, we are committed to providing our employees with opportunities for growth and development, and the Customer Service Specialist I role is no exception. As part of our Revenue Cycle Career Ladder, this role offers a clear path for advancement, with opportunities to develop new skills and take on additional responsibilities. If you are looking for a challenging and rewarding role with a reputable organization, we encourage you to apply for this exciting opportunity. Work Environment and Company Culture blithequark is committed to providing a supportive and inclusive work environment, with a strong focus on employee satisfaction and well-being. Our comprehensive benefits package includes healthcare, paid time off, and various other benefits, designed to promote a healthy lifestyle and support the needs of our employees. We are an equal employment opportunity employer, adhering to all requirements of applicable federal, state, and local civil rights laws, and are committed to creating a diverse and inclusive workplace culture. Compensation and Benefits The hourly rate for this role ranges from $21.63 to $26.44, depending on experience, skill set, training, and education. Our comprehensive benefits package includes a range of perks and benefits, designed to support the needs of our employees and promote a healthy lifestyle. If you are looking for a rewarding and challenging role with a reputable organization, we encourage you to apply for this exciting opportunity. Conclusion If you are a customer-focused individual with a passion for delivering exceptional support, we encourage you to apply for the Customer Service Specialist I role at blithequark. With a strong commitment to employee growth and development, a comprehensive benefits package, and a supportive and inclusive work environment, this role offers a unique opportunity for professionals to advance their careers in a dynamic and rewarding setting. Don't miss out on this exciting opportunity to join a leading healthcare provider network and take the first step towards a fulfilling and challenging career. Apply for this job