Experienced Customer Service Specialist I – Healthcare Revenue Cycle Support

Join arenaflex, a leading provider of administrative and clinical support staff for ColumbiaDoctors, one of the largest multi-specialty practices in the Northeast, as we seek an experienced Customer Service Specialist I to support our revenue cycle operations. This is an exciting opportunity to join a dynamic team and contribute to the delivery of exceptional patient care and service.

About arenaflex

arenaflex is a trusted partner to ColumbiaDoctors, providing a range of administrative and clinical support services that enable the practice to focus on delivering high-quality patient care. With a strong commitment to excellence and a passion for innovation, arenaflex is dedicated to creating a positive and productive work environment that supports the growth and development of our employees.

Job Summary

As a Customer Service Specialist I, you will play a critical role in handling and resolving incoming phone calls from patients, insurance carriers, and physician offices. Your primary responsibilities will include collections of outstanding patient balances, establishing payment arrangements, and updating patient and guarantor accounts with new demographic and insurance coverage information. You will be expected to exhibit professional and courteous behavior at all times during patient and/or client interaction.

Key Responsibilities

* Handle a large volume of calls and perform work in a timely manner, ensuring that all calls are answered promptly and resolved efficiently.

• Attempt to collect full payment from patients or guarantors in a professional and courteous manner, using effective communication skills to resolve payment disputes and negotiate payment arrangements.
• Establish payment arrangements per guidelines, documenting terms in the billing system and applying payments collected over the phone to each date of service.
• Handle customer inquiries, disputes, and complaints, escalating contentious complaints to a supervisor 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 that all interactions are accurately recorded and tracked.

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, with a strong understanding of contracts, insurance benefits, exclusions, and other billing requirements.
• Ability to understand and navigate the payer adjudication process, with a strong knowledge of claim forms, HMOs, PPOs, Medicare, Medicaid, and compliance program regulations.
• 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, such as healthcare administration or business.

• Advanced knowledge of medical terminology and coding systems.
• Experience with patient financial and practice management systems, including Epic and other electronic billing systems.
• Strong analytical and problem-solving skills, with the ability to resolve complex payment disputes and negotiate payment arrangements.
• Excellent communication and interpersonal skills, with the ability to work effectively with patients, insurance carriers, and physician offices.

Career Growth Opportunities and Learning Benefits

As a Customer Service Specialist I at arenaflex, you will have the opportunity to grow and develop your skills and knowledge in a dynamic and supportive environment. We offer a range of training and development programs, including:

• On-the-job training and mentorship from experienced colleagues.
• Ongoing education and training in patient financial and practice management systems, including Epic and other electronic billing systems.
• Opportunities for career advancement and professional growth, with a clear career ladder and defined promotion criteria.
• Access to a range of online learning resources and training programs, including webinars, workshops, and online courses.

Work Environment and Company Culture

arenaflex is committed to creating a positive and productive work environment that supports the growth and development of our employees. We offer a range of benefits and perks, including:

• A competitive comprehensive benefit package, including healthcare and various other benefits.
• A flexible and remote work arrangement, with occasional requirements to visit the office for training, meetings, and other business needs.
• A dynamic and supportive team environment, with opportunities for collaboration and teamwork.
• A commitment to diversity, equity, and inclusion, with a focus on creating a workplace that is welcoming and inclusive for all employees.

Compensation and Benefits

arenaflex offers a competitive hourly rate range of $21.63 - $26.44, based on a variety of factors, including experience, skill set, training, and education. We also offer a comprehensive benefit package, including:

• Healthcare and various other benefits.
• Paid time off to promote a healthy lifestyle.
• A flexible and remote work arrangement, with occasional requirements to visit the office for training, meetings, and other business needs.

How to Apply

If you are a motivated and customer-focused individual with a passion for delivering exceptional patient care and service, 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 creating a workplace that is welcoming and inclusive for all employees, and we welcome applications from diverse candidates. Apply for this job