[Hiring] Senior Healthcare Customer Service Rep @R1 RCM

Role Description

As our Patient Solutions Representative II, you will liaison between patients and the healthcare organization. Every day you will manage patient questions and concerns in a confidential and professional manner.

• Deliver a high-quality patient experience through inbound and outbound call resolution within established protocols with a focus on first call resolution.
• Manage inquiries via multiple communication channels in a professional manner using EMR systems such as Epic, Cerner, Meditech, or similar systems.
• Review/interpret and answer questions regarding patient statements, explanation of benefits, account balances, payment plans and related areas.
• Utilize health care industry term knowledge (e.g., primary care, provider, benefits, HIPAA, PCI, EOBs, CPT & ICD-10 codes, HCFAs, UB04s, HCPCS, DRGs and authorizations/referrals).
• Research information using available resources and FAQ to source information rapidly in a fast-paced environment.

Qualifications

• High school diploma or GED, preferred.
• Minimum 1 year of experience in a healthcare call center environment.
• Prior experience in revenue cycle operations, high call volume within a healthcare setting, and insurance related questions to ensure proper account resolution.
• Background in medical claims and denials, and patient-focused customer service experience.

Requirements

• For this US-based position, the base pay range is $16.61 - $22.95 per hour. Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.

Benefits

• Competitive benefits package.
• Opportunity to constantly learn, collaborate across groups, and explore new paths for your career.
• Chance to contribute, think boldly, and create meaningful work that makes a difference in the communities served.