[Hiring] Medical Billing Customer Service Specialist @RAYUS Radiology

Role Description

RAYUS Radiology is looking for a Customer Service Specialist to join our team. The Customer Service Specialist serves as the primary point of contact for resolving medical billing issues for patient billing responsibilities. You will bridge the gap between patients, insurance companies, and internal departments to explain balances, verify demographics, and optimize Revenue Cycle Management processes with a focus on patient satisfaction.

This is a full-time remote position working 40 hours per week. Shifts are 9:30am-6:00pm CST.

Essential Duties and Responsibilities

• (85%) Patient Billing Customer Service
  • Assist clinics, referring doctors, attorneys, insurance companies, and patients/responsible parties with medical billing questions.
  • Research explanation of benefits (EOBs) and/or denials in imaging system to assist patients and explain balances.
  • Respond to texts, email, and mail regarding billing accounts, problem accounts, general questions, and concerns in a timely manner; route to appropriate departmental resources as needed.
  • Escalate more complex inquiries to Senior Customer Service Specialist for support and resolution.
  • Communicate effectively with various departments within Revenue Cycle Management.
  • Meet or exceed team quality assurance standards.
• (10%) Administrative Duties
  • Email itemized statements and attorneys, requesting letters of protection (LOPs) from attorneys ensuring proper authorization is on file.
  • Update billing system with updated patient demographic information.
  • Make calls to referring doctors, patients, insurance companies, and attorneys to receive updated insurance or demographic information on patient accounts.
  • Research inaccurate and missed adjustments, duplicate charges, reverse collection decisions, and insurance denials.
• (5%) Performs Other Duties as Assigned

Qualifications

• High school diploma or equivalent.
• 2 years’ customer service experience.
• Proficient with using computer systems and typing.
• Proficiency with Microsoft Excel, PowerPoint, Word, and Outlook.
• Ability to speak Spanish or other languages in addition to English (preferred).
• Health care experience (preferred).

Requirements

• Knowledge of and adherence to company policies and protocols.
• Knowledge of and adherence to HIPAA and safety guidelines.
• Knowledge of basic level computer skills; working knowledge of Windows and Microsoft Office Suite products.
• Skilled in organizing and prioritizing work and following assignments through to completion.
• Skilled in written, electronic, and verbal communication.
• Ability to work independently and in a team environment.
• Ability to work in a fast-paced environment and meet established deadlines.
• Ability to be flexible in schedule and adaptable to constant change.
• Ability to effectively handle details with accuracy.
• Ability to maintain regular attendance and on-time arrival to work as scheduled.
• Ability to deliver high quality customer service to internal and external customers by communicating with integrity and compassion.
• Ability to resolve service recovery issues and understand when to escalate to the next level.
• Ability to remain calm in challenging situations.
• Knowledge of third-party payors.
• Ability to convey complex subject matter clearly.
• Ability to use office equipment such as computers, printers, scanners/copiers, fax machines, and telephones.

Benefits

• Medical, dental, and vision insurance.
• 401k with company match.
• Life and disability insurance.
• Tuition reimbursement.
• Adoption assistance.
• Pet insurance.
• PTO and holiday pay.
• Many more benefits (based on eligibility).