Experienced Customer Resolution Specialist for Remote Patient Care Services – Delivering Exceptional Patient Experiences through Empathetic Customer Service and Effective Revenue Cycle Management

Introduction to blithequark

At blithequark, we are dedicated to providing an exceptional patient and family experience, setting a high standard for delivering value and compassionate care. As a leader in the healthcare industry, we are committed to innovation, hope, and excellence in all aspects of our operations. Our mission is to enable and empower patients and families to focus on health, healing, and recovery, and we do this by executing against our three experience pillars: Know Me, Show Me the Way, and Coordinate for Me. If you are passionate about delivering outstanding customer service and making a positive impact on people's lives, we encourage you to explore this exciting opportunity to join our team as a Customer Resolution Specialist.

Job Overview

As a Customer Resolution Specialist at blithequark, you will be responsible for performing customer care activities in accordance with applicable Federal, State, and local standards, guidelines, and regulations. Your key responsibilities will include customer service, billing, and patient account balance collection activities associated with the hospital and professional revenue cycle. You will be the primary point of contact for patients, families, and healthcare providers, resolving inquiries, and addressing concerns in a professional and empathetic manner.

Key Responsibilities

• Perform or request adjustments and contractual write-offs as applicable
• Maintain a thorough understanding of hospital and professional billing procedures and payment practices of state, federal, and all third-party payers
• Resolve customer service inquiries, including benefit and eligibility information, billing and payment issues, authorization for treatment, and explanation of benefits (EOB)
• Perform timely and efficient collection of all self-pay balances by calling patients/guarantors and others to collect or arrange budget plan options and resolve issues
• Perform presumptive charity determinations as applicable
• Perform bad debt request transfers as applicable
• Ensure daily productivity standards of assigned accounts are met and posting of all action codes related to patient’s accounts
• Maintain a thorough, practical understanding of departmental established policies and procedures
• Other duties as assigned

Education and Experience Qualifications

To be successful in this role, you will need a High School diploma or GED equivalent and three (3) years of progressively responsible and directly related work experience in customer service, billing, or a related field. You will also need to possess a strong understanding of government/non-government payer requirements, reimbursement rules, laws, and regulations that govern billing/collection activities.

Required Knowledge, Skills, and Abilities

• Medical terminology, CPT-4, ICD-9, HCPCS, modifier coding, and how these items drive reimbursement
• Principles and practices of customer service and telephone courtesy
• Organizational, planning, analytical, and problem-solving skills
• Attention to detail and follow-through
• Demonstrated verbal and written communication skills
• Microsoft Office applications (Word and Excel)
• Epic Professional Billing preferred
• HFMA - Certified Rev Cycle Rep (CRCR) preferred

Career Growth Opportunities and Learning Benefits

At blithequark, we are committed to the growth and development of our employees. As a Customer Resolution Specialist, you will have access to ongoing training and education, career advancement opportunities, and a supportive team environment that encourages collaboration and innovation. You will also have the opportunity to work with a talented team of professionals who are passionate about delivering exceptional patient care and making a positive impact on people's lives.

Work Environment and Company Culture

Our work environment is dynamic, fast-paced, and patient-centered. We value diversity, equity, and inclusion, and we are committed to creating a workplace culture that is respectful, empathetic, and supportive of all employees. We believe in empowering our employees to take ownership of their work, to innovate, and to make decisions that align with our mission and values. At blithequark, you will be part of a team that is dedicated to making a difference in the lives of our patients and families.

Compensation, Perks, and Benefits

We offer a competitive compensation package, including a base pay scale that generally starts at $38.33 - $43.17 per hour. Our benefits package includes a range of perks, such as medical, dental, and vision insurance, retirement savings, and paid time off. We also offer opportunities for professional growth and development, including education assistance, training, and career advancement opportunities.

Equal Opportunity Employer

blithequark is an equal opportunity employer that values diversity, equity, and inclusion. We are committed to creating a workplace culture that is respectful, empathetic, and supportive of all employees, regardless of their background, culture, or personal characteristics. We encourage applications from people of all genders, members of all racial and ethnic groups, people with disabilities, and veterans.

Conclusion

If you are a motivated and compassionate individual who is passionate about delivering exceptional customer service and making a positive impact on people's lives, we encourage you to apply for this exciting opportunity to join our team as a Customer Resolution Specialist. At blithequark, you will be part of a dynamic team that is dedicated to providing exceptional patient care and making a difference in the lives of our patients and families. Apply now and take the first step towards a rewarding and challenging career in healthcare.