Experienced Customer Service Specialist I – Healthcare Revenue Cycle Support

As a leading provider of administrative and clinical support staff for arenaflex, a top healthcare provider network, we are seeking an experienced Customer Service Specialist I to join our team. This role will support arenaflex's multi-specialty practices, comprising an experienced group of over 2,800 physicians, surgeons, dentists, and nurses, offering more than 240 specialties and subspecialties. 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 support.

About arenaflex

arenaflex is a renowned healthcare provider network, dedicated to delivering exceptional patient care and innovative medical solutions. With a strong commitment to excellence, arenaflex has established itself as a leader in the healthcare industry, providing comprehensive medical services to patients across the Northeast. Our team is passionate about making a positive impact on the lives of our patients and communities, and we are seeking like-minded professionals to join our mission.

Job Summary

As a Customer Service Specialist I, you will be responsible for handling a large volume of calls, performing work in a timely manner, and providing exceptional customer service to patients, insurance carriers, and physician offices. Your primary responsibilities will include:

Key Responsibilities:

• Handle large volume of calls and perform work in a timely manner.

• Attempt to collect full payment from patients or guarantors in a professional and courteous manner.
• Establish payment arrangements per guidelines, documenting terms in the billing system.
• Apply payments collected over the phone to each date of service.
• Handle customer inquiries, disputes, and complaints, escalating contentious complaints to supervisors or higher management.
• Obtain all insurance, demographic, guarantor information, and update patient profiles as well as bill third-party payers as appropriate.
• Clearly document in the system a summary of work and follow-up steps after each call.

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.
• 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:

• Bachelor's degree in a related field (e.g., healthcare administration, business, or finance).

• Advanced knowledge of medical terminology and healthcare regulations.
• Experience with patient financial and practice management systems, including Epic and/or other electronic billing systems.
• Previous experience in a leadership or supervisory role.

What We Offer:

• Competitive hourly rate ranges: $22.39 - $28.29, based on experience, skill set, training, and education.

• Comprehensive benefits package, including healthcare, paid time off, and various other benefits to promote a healthy lifestyle.
• Opportunity to grow as part of a revenue cycle career ladder, with opportunities for professional development and advancement.
• Collaborative and dynamic work environment, with a team of experienced professionals dedicated to delivering exceptional patient care and innovative medical solutions.

Work Environment and Company Culture:

As a remote employee, you will have the flexibility to work from the comfort of your own home, while still being part of a productive and collaborative team. arenaflex is committed to providing a supportive and inclusive work environment, where employees feel valued and empowered to make a positive impact. Our company culture is built on a foundation of excellence, innovation, and teamwork, with a strong focus on delivering exceptional patient care and innovative medical solutions.

How to Apply:

If you are a motivated and customer-focused professional, with a passion for delivering exceptional patient care and innovative medical solutions, 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, committed to diversity, equity, and inclusion. We adhere to all requirements of all applicable federal, state, and local civil rights laws, and welcome applications from diverse candidates. Apply for this job