Customer Service Specialist I – Healthcare Revenue Cycle Expert

Join arenaflex, a leading provider of administrative and clinical support staff for ColumbiaDoctors, one of the largest multi-specialty practices in the Northeast. As a Customer Service Specialist I, you will play a vital role in handling and resolving incoming phone calls from patients, insurance carriers, and physician offices, ensuring exceptional customer service and revenue cycle management.

About arenaflex

arenaflex is a dynamic organization that provides administrative and clinical support staff to ColumbiaDoctors, a renowned healthcare provider network. With a team of over 2,800 experienced physicians, surgeons, dentists, and nurses, ColumbiaDoctors offers more than 240 specialties and subspecialties, making it a leader in the healthcare industry. arenaflex is committed to delivering exceptional customer service while maintaining a productive environment for all employees.

Job Summary

The Customer Service Specialist I is responsible for handling and resolving incoming phone calls from patients, insurance carriers, and physician offices. This role requires a high level of professionalism, courtesy, and attention to detail to ensure seamless communication and revenue cycle management. As a Customer Service Specialist I, you will have the opportunity to grow as part of a Revenue Cycle Career Ladder, with opportunities for advancement and professional development.

Key Responsibilities

• Handle a large volume of calls and perform work in a timely manner, ensuring exceptional customer service and revenue cycle management.

• 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 timely processing.
• Handle customer inquiries, disputes, and complaints, escalating contentious complaints to supervisors or higher management as needed.
• Obtain all insurance, demographic, and guarantor information, updating patient profiles and billing third-party payers as appropriate.
• Clearly document in the system a summary of work and follow-up steps after each call, ensuring transparency and accountability.

Essential Qualifications

• High school graduate or GED certificate is required.

• A minimum of 6 months' experience in a physician billing or third-party payer environment is preferred.
• Must 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.
• Candidate must demonstrate the ability to understand and navigate the payer adjudication process.
• Patient financial and practice management system experience in Epic and/or other electronic billing systems is preferred.
• Knowledge of medical terminology is preferred.
• Previous call center/claims experience is preferred.
• Previous experience in an academic healthcare setting is preferred.

Preferred Qualifications

• Experience with patient financial and practice management systems, including Epic and/or other electronic billing systems.

• Knowledge of medical terminology and coding systems.
• Previous call center/claims experience, with a focus on customer service and revenue cycle management.
• Previous experience in an academic healthcare setting, with a focus on patient care and revenue cycle management.

Compensation and Benefits

arenaflex offers a competitive hourly rate range of $22.39 - $28.29, with salary offers falling within these ranges based on a variety of factors, including but not limited to experience, skill set, training, and education. Eligible employees also receive a comprehensive benefits package, including healthcare and various other benefits to promote a healthy lifestyle.

Work Environment and Culture

arenaflex is committed to providing a productive environment for all employees, with a focus on exceptional customer service and revenue cycle management. Our team is dedicated to delivering high-quality services to our clients, while maintaining a positive and supportive work environment.

Career Growth Opportunities

As a Customer Service Specialist I, you will have the opportunity to grow as part of a Revenue Cycle Career Ladder, with opportunities for advancement and professional development. arenaflex is committed to investing in the growth and development of our employees, with a focus on providing training and education to support career advancement.

How to Apply

If you are a motivated and customer-focused individual with a passion for revenue cycle management, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, to [insert contact information]. We look forward to hearing from you!

Equal Employment Opportunity

arenaflex is an equal employment opportunity employer and adheres to all requirements of all applicable federal, state, and local civil rights laws. We are committed to providing a diverse and inclusive work environment, with opportunities for all employees to grow and develop their careers. Apply for this job