Experienced Customer Service Specialist - Healthcare Billing and Revenue Cycle Management Professional at blithequark

Introduction to blithequark

At blithequark, we are revolutionizing the primary care experience by delivering high-quality care and service to our patients. As a leader in the healthcare industry, we are committed to making healthcare more accessible and less complicated for our members. Our call center team combines healthcare expertise with a customer-obsessed culture to deliver exceptional patient support. We are seeking a passionate and innovative problem-solver to join our team as a Customer Service Specialist - Healthcare Billing and Revenue Cycle Management Professional.

Job Summary

In this role, you will be responsible for handling patient phone calls and message inquiries, de-escalating issues, ensuring patient satisfaction, and assisting with navigating healthcare needs, including insurance, billing, medical records, authorizations, and referrals. You will collaborate with providers and other operations team members to complete urgent tasks pertaining to patient billing issues and questions. As a key member of our team, you will proactively reach out to patients with open balances to assist with payment options, educate admins and patients on health insurance benefits, answer complex billing inquiries, resolve payment processing issues, and maintain service level agreements in response time to admins and patients.

Key Responsibilities

• Handle patient phone calls and message inquiries, de-escalate issues, ensure patient satisfaction, and assist with navigating healthcare needs, including insurance, billing, medical records, authorizations, and referrals.
• Collaborate with providers and other operations team members to complete urgent tasks pertaining to patient billing issues and questions.
• Proactively reach out to patients with open balances to assist with payment options, educate admins and patients on health insurance benefits, answer complex billing inquiries, resolve payment processing issues, and maintain service level agreements in response time to admins and patients.
• Assist admins with our member’s billing needs via our tasking system to provide the best customer service.
• Investigate claims through insurance to ensure they were processed according to the patient benefit plan, including reviewing and reconciling patient and insurance balances for accuracy.
• Master our technology suite, including RingCentral, Slack, G-suite, Zoom, and our Electronic Medical Record System, to interact with team members and patients and complete daily work.
• Contribute to team development through rounding, attending team huddles, participating in team problem-solving, and supporting all in-office providers with urgent & stat patient needs.

Essential Qualifications

To be successful in this role, you must have:

• 2+ years of customer service experience in a call center environment.
• 1+ years of experience with medical billing, insurance claims, or healthcare revenue cycle.
• Demonstrated proficiency in Microsoft Office Suite.
• Experience using electronic health records (EHR) or customer relationship management (CRM) systems.
• Knowledge of HIPAA compliance and healthcare privacy regulations.
• High school diploma or equivalent.

Preferred Qualifications

Preferred candidates will have:

• Spanish speaking skills.
• Ability to work various shifts.
• Strong problem-solving and documentation skills.
• Ability to type 45+ WPM while maintaining accuracy.

Skills and Competencies

To excel in this role, you must possess:

• Excellent customer service skills, with the ability to remain calm under pressure.
• Strong problem-solving skills, with the ability to navigate complex billing situations.
• Effective communication skills, with the ability to clearly communicate financial information to patients and de-escalate when necessary.
• Ability to maintain patient confidentiality and adhere to HIPAA regulations.
• Strong attention to detail, with the ability to accurately document all interactions in our customer relationship management system.

Career Growth Opportunities and Learning Benefits

At blithequark, we are committed to the growth and development of our employees. As a Customer Service Specialist - Healthcare Billing and Revenue Cycle Management Professional, you will have access to ongoing training and development opportunities, including:

• Comprehensive training program to ensure you have the skills and knowledge necessary to succeed in your role.
• Ongoing coaching and feedback to help you grow and develop in your career.
• Opportunities for advancement and professional growth within the company.

Work Environment and Company Culture

Our call center team is a dynamic and supportive environment that emphasizes leadership principles of ownership and continuous improvement. We are committed to making healthcare more accessible and less complicated for our members, and we are looking for team members who share our passion for delivering exceptional patient support. As a blithequark employee, you will enjoy:

• A diverse and inclusive work environment that values and respects all employees.
• A culture that emphasizes teamwork, collaboration, and open communication.
• Opportunities for professional growth and development.
• A comprehensive benefits package, including medical, financial, and other benefits.

Compensation, Perks, and Benefits

Our compensation reflects the cost of labor across several US geographic markets. The base pay for this position ranges from $31,200/year in our lowest geographic market up to $50,000/year in our highest geographic market. Pay is based on a number of factors, including market location and may vary depending on job-related knowledge, skills, and experience. blithequark is a total compensation company, and dependent on the position offered, equity, sign-on payments, and other forms of compensation may be provided as part of a total compensation package.

Conclusion

If you are a passionate and innovative problem-solver who is driven to help people, we encourage you to apply for this exciting opportunity to join our team as a Customer Service Specialist - Healthcare Billing and Revenue Cycle Management Professional. At blithequark, we are committed to delivering exceptional patient support and making healthcare more accessible and less complicated for our members. We look forward to hearing from you and exploring how you can contribute to our mission.