DESCRIPTION We are looking for a motivated performer to join our Business Office team as a Customer Service Representative, with an extensive knowledge of claims reimbursement and collection efforts for Managed Care, Medicare, Medicaid, Workers Comp, Commercial plans, etc. We are looking for a top performer with an extensive knowledge of billing, collections and reimbursement of claims processing. This is a fast paced environment committed to producing the highest quality work for our surgery center. An ideal candidate will be personable and courteous.

We are looking for a competent Customer Service Representative to receive and triage incoming patient and insurance calls.  The  Customer Service Representative should exhibit professionalism and trustworthiness. You should have excellent communication and negotiation skills, as well as an ability to work independently and interdependently with other business office staff.

  JOB SUMMARY   The Customer Service Representative will be responsible for receiving and triaging all incoming patient and insurance calls.  Individual shall be flexible to perform a variety of duties.  This position requires strong interpersonal skills to regularly interact professionally, promptly and courteously with all patients, physicians and their office personnel.  Collection experience is required to work accounts and assist with the processing of claims.    Knowledge of how to interpret an Explanation of Benefits and to understand managed care contract is required.  Identification of accounts that have been either under or over paid, issuing credit balance information either to the insurance carrier or the patient. All of these practices done in a professional and communicative manner, per policies and procedures, guidelines, internal control measures and established goals. Candidate must be a team player, and have ability to communicate well with direct reports, patients, customers, insurance carriers, etc.  Projects a professional demeanor and appearance while maintaining the confidentiality of administration, patients, physicians and employees. Works under stress and in situations that demand patience and tact while providing impeccable service.      BENEFITS Our competitive salary and benefits package includes medical and dental insurance, 401(k), paid time off and life insurance.

Required Skills

• Ability to work independently.
• Comfortable utilizing critical thinking skills.
• Typing 45-60 WPM.
• High School Diploma or equivalency.
• Proficient with Microsoft Office products.

Required Experience

• 2 plus years previous collections and customer service experience, with emphasis on healthcare insurance collections of all types. Preference shown to previous experience in an ambulatory surgical setting. Medical terminology.
• Experience working with Advantx (Patient Accounting System) preferred.
• Bilingual (English/Spanish)

• Ability to work independently.
• Comfortable utilizing critical thinking skills.
• Typing 45-60 WPM.
• High School Diploma or equivalency.
• Proficient with Microsoft Office products.