Experienced Customer Service Specialist & Billing Expert – Healthcare Revenue Cycle Management at blithequark

Are you a passionate and driven individual with a strong background in customer service and medical billing? Do you thrive in a fast-paced environment where no two days are the same? If so, we invite you to join our dynamic team at blithequark as a Customer Service Specialist & Billing Expert in our Healthcare Revenue Cycle Management department.

About blithequark

blithequark is a leading healthcare organization dedicated to transforming the primary care experience. Our mission is to deliver high-quality care and service to our patients, and we're looking for talented individuals like you to help us achieve this goal. As a Customer Service Specialist & Billing Expert, you'll be part of a team that combines healthcare expertise with a customer-obsessed culture to deliver exceptional patient support.

A Day in the Life

As a Customer Service Specialist & Billing Expert, you'll handle inbound calls from patients regarding their medical bills, insurance claims, and payment inquiries. Your daily activities will include reviewing patient accounts, processing payments, explaining EOBs (Explanation of Benefits), and coordinating with internal stakeholders such as medical billing specialists, insurance verification teams, and healthcare providers to resolve billing discrepancies. You'll solve problems like incorrect charges, insurance claim rejections, payment plan requests, and billing confusion. Regular communication with insurance companies to verify benefits and claim status is essential. You'll also document all interactions in our electronic health record system and follow up on pending issues.

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, support blithequark's efforts to empower patients in resolving financial responsibilities, and maintain service level agreements in response time to admins and patients.
• Assist admins with our member's billing needs via 1Life's 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 but not limited to RingCentral, Slack, G-suite, Zoom, and our Electronic Medical Record System 1Life, to be able 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, supporting all in-office providers with urgent & stat patient needs.

Essential Qualifications

* 2+ years of customer service experience in a call center environment

• 1+ years 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

* Spanish speaking

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

What We Offer

* Competitive compensation package, including base pay and potential for additional forms of compensation

• Comprehensive benefits, including medical, financial, and other benefits
• Ongoing training and development opportunities to support your career growth
• Collaborative and inclusive work environment
• Opportunity to work with a leading healthcare organization dedicated to transforming the primary care experience

How to Apply

If you're a motivated and customer-focused individual with a passion for healthcare, we encourage you to apply for this exciting opportunity. Please submit your application via our internal or external career site. We look forward to reviewing your application and discussing this opportunity further.

About Our Team

Our call center team combines healthcare expertise with a customer-obsessed culture to deliver exceptional patient support. We handle billing inquiries with empathy and efficiency, and our culture emphasizes leadership principles of ownership and continuous improvement. Team members work in a diverse, inclusive environment where success is measured by positive patient impact while maintaining the highest standards of healthcare privacy and professionalism.

Equal Opportunity Employer

blithequark is an equal opportunity employer and does not discriminate on the basis of protected veteran status, disability, or other legally protected status. We're committed to creating a diverse and inclusive work environment that reflects the communities we serve.

Accommodations for Applicants with Disabilities

If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview or onboarding process, please visit our website for more information. If the country/region you're applying in isn't listed, please contact your Recruiting Partner.

Compensation 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. Amazon 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, in addition to a full range of medical, financial, and/or other benefits. For more information, please visit our website. Apply for this job