The Customer Service Specialist will demonstrate excellent customer service and documentation while communicating with patients family members clinic personnel or outside vendors.
This is a fulltime position working MF from 8:00 am 4:30 pm. After a period of training at our Corporate Office in Bloomington this role will be remote.
Revo Health is a professional services company that partners with multiple healthcare groups to deliver exceptional patient care. This position will be employed through Revo Health working closely with Infinite Health Collaborative (iHealth) and its operating divisions.
Essential Functions:
- Communicate all pertinent patient information regarding their call to include; appointment information directions checkin times referral information and copayments. Inbound calls may also include follow up to questions on current billing statements concerns regarding current services and unpaid denied or rejected billing claims. All communication should be documented according to current policy.
- Ensure professional communication with patients clinic personnel and outside vendors over the phone via email or other written documentation and responding to all inquiries
- Maintain a working knowledge of health care plan requirements and health plan networks
- Verify and document insurance information as defined by current business practices
- Other daily functions may include:
- Review Explanation of Benefits (EOB) researching denials rejections and/or excessive reductions
- Ensure appropriate forms are used when requesting adjustments insurance transfers or other specific account changes
- Make outbound phone calls to patients or insurance companies as follow up to unpaid denied or rejected billing claims and document according to current policy
- Take inbound phone calls through the Centralized Scheduling line as assigned
- Any and all other duties as assigned
Education and Experience Requirements:
- High School diploma/GED or equivalent
- Customer service experience
- Experience in accounts receivable or billing practices as it relates to healthcare preferred
Benefits & Compensation:
- Actual starting pay will vary based on education skills and experience.
- We offer a comprehensive Medical Dental & Vision Plan Maternity Bundle 401K with Profit Sharing Tuition Reimbursement Gym & Car Rental Discounts to learn more clickhere.
Essential Requirements:
Ability to:
- Comply with company policies procedures practices and business ethics guidelines.
- Complete job required training.
- Comply with all applicable laws and regulations (e.g. HIPAA Stark OSHA employment laws etc.
- Demonstrate prompt and reliable attendance
- Work in the clinic office or surgery center during business hours
- Travel independently throughout the clinic office or surgery center (which may include movement from floor to floor); frequent bending lifting standing stooping or sitting for long periods of time may be required
- Work at an efficient and productive pace handle interruptions appropriately and meet deadlines
- Communicate and interact in a respectful and professional manner
- Prioritize workload while being flexible to meet the expectations of the daily operations
- Apply principles of logical thinking to define problems establish facts and draw valid conclusions
- Understand and execute a variety of instructions
- Effectively operate equipment and communicate on and operate the phone system
- Work independently with minimal supervision
- Travel to other work locations if required
Performance Expectations Revo Healths Core Values:
- Integrity Do the right thing and take responsibility for what you do and say
- Service Consistently contribute to deliver an exceptional experience
- Quality Act with high purpose committed effort and skillful to exceed expectations
- Innovation Identify progressive solutions that improve service teamwork efficiency and/or effectiveness
- Teamwork Be a part of the whole; support each other positively
Environmental Conditions:
- Office setting
- High volume callcenter environment
Notes:
Required Experience:
Unclear Seniority