Medical Customer Service Rep

Description: We are hiring in the following states:

AZ, CA, CO, CT, FL, GA, HI, IL, MA, ME, MN, MO, NC, NJ, NV, OK, PA, SD, TN, TX, VA, WA

This is a remote position.

At Currance, we believe in recognizing the unique skills and experiences that each candidate brings to our team. Our overall compensation package is competitive and is determined by a combination of your experience in the industry and your knowledge of revenue cycle operations. We are committed to offering a rewarding environment that aligns with both individual contributions and our company goals.

Benefits include paid time off, 401(k) plan, health insurance (medical, dental, and vision), life insurance, paid holidays, training and development opportunities, a focus on wellness and support for work-life balance, and more.

Please note that we are looking for people who have hospital billing experience in collections and have some HB billing experience, in high dollar collections, adjustments and denials management.

Job Overview

Reporting to the operations supervisor, frontline liaison between healthcare providers and patients. Provide customers with information about their health insurance coverage and any billing questions. Provide options for payment plans or refer patients to a client financial counselor. Provide options for financial assistance.

Requirements

Job Duties and Responsibilities

• Answer incoming calls and emails from patients and address billing inquiries, resolve complaints, and provide detailed information about medical services and policies.
• Process patient billing inquiries, explain charges, insurance coverage, payment options, and facilitate resolution of billing discrepancies.
• Update and maintain accurate patient records in the healthcare facility’s database, ensuring confidentiality and compliance with HIPAA regulations.
• Escalate patient complaints to your supervisor or client as applicable.
• Advise members of outstanding co-pay or co-insurance.
• Explain estimates for services provided.
  
  

Qualifications

• High school diploma or equivalent.
• Prior experience as a customer service specialist or equivalent, ideally within a medical setting.
  
  

Knowledge, Skills, And Abilities

• Knowledge of medical benefits explanation, revenue collection, filing a claim, and patient records.
• Knowledge of insurance company payment processes.
• Knowledge of third-party operating procedures, regulations, and billing requirements as well as government reimbursement programs.
• Skilled in computers (i.e., Microsoft Office, etc.).
• Skilled in organization, multitasking, meeting deadlines, written and verbal communication, and interpersonal communication.
• Ability to proactively problem solve.