The Customer Service Representative Bilingual role will be responsible for answering a variety of incoming calls regarding patient medical bills, insurance, Explanation of Benefits (EOB) forms, and bill payment arrangements. This role will utilize multiple internal systems to assist with overall patient billing needs
Essential Functions and Tasks
Provides exceptional customer service to callers. Troubleshoots billing inquiries, explains benefits coverages, and explains course of action and timeframes
Ensures proper documentation, recording, and closure of issues
Collaborates with other internal departments to research insurance denials, missing payments, and attorney requests
Performs special projects and other duties as assigned
Education and Experience Requirements
High School Diploma or GED
One (1) year of customer service experience in a high volume, fast paced environment (Healthcare call center experience preferred
Knowledge, Skills, and Abilities
Fluent in both English and Spanish
Knowledge of the Explanation of Benefits
Knowledge of a variety of insurance plans
Knowledge of ICD-10 and CPT Codes
Strong word processing, spreadsheet, and database software skills
Strong mathematical skills in addition, subtraction, multiplication and division of whole numbers and fractions; computing percentages; and working with decimals
Strong oral, written, and interpersonal communication skills
Strong time management skills
Strong organizational skills
Strong customer service skills
Ability to understand, analyze, interpret, and explain complex documents
Ability to work in a team environment
Ability to adhere to standards and quality guidelines
Ability to read, understand, and apply state/federal laws, regulations, and policies
Ability to remain flexible and work within a collaborative and fast paced environment
Ability to communicate with diverse personalities in a tactful, mature, and professional manner
Base Compensation:
Base Compensation for this position: $18.00 per hour
Base Compensation will be based on various factors unique to each candidate including geographic location, skill set, experience, qualifications, and other job-related reasons
This position is also eligible for discretionary performance bonuses in accordance with company policies