Experienced Remote Specialty Testing Customer Service Support Representative – Healthcare Billing and Insurance Expertise

Welcome to blithequark

At blithequark, you are part of a journey to accelerate life-changing healthcare breakthroughs and improve the delivery of care for all. You’ll be inspired to discover more, develop new skills, and pursue career-building opportunities as we help solve some of today’s biggest health challenges around the world. Together, let’s embrace possibilities and change lives! Our Specialty Testing team has an exciting career opportunity for a Customer Service Support Representative, where you will play a vital role in providing exceptional support to patients and clients, ensuring they have a seamless experience with our services.

Job Overview

We are seeking a highly skilled and experienced Customer Service Support Representative to join our team. As a key member of our Specialty Testing team, you will be responsible for providing assistance to patients and clients, answering billing questions, and resolving reimbursement opportunities over the phone. This fast-paced work-from-home position requires a strong ability to work in a high call volume environment, navigate multiple systems and websites, and communicate complex information in a clear and concise manner.

Key Responsibilities:

• Ability to work in a high call volume environment, averaging ~75 calls per day from patients, doctor’s offices, and/or private insurance carriers
• Ability to research and communicate complex information in a clear and concise manner
• Ability to navigate and work on multiple systems/websites simultaneously
• Provide assistance to clients and patients regarding any questions or inquiries related to insurance coverage, financial responsibilities, and/or billing
• Collaborate with other departments to resolve reimbursement opportunities
• Receive and process credit card payments over the phone, adhering to PCI compliance protocols
• Initiate payment plans for patients for outstanding balances
• Document telephone conversations clearly and accurately in the respective systems
• Update and maintain records in the billing system, including the review of accounts, payment collections, and case notes
• Maintain patient confidentiality and adhere to HIPAA guidelines/regulations
• Assist with other duties as assigned

Qualifications and Requirements

To be successful in this role, you will need to possess the following qualifications and skills:

• Associate's degree with at least 1+ year of prior relevant work experience OR High School diploma/GED equivalent with at least 3+ years of relevant work experience
• Prior Healthcare experience strongly preferred, with a strong preference given to professional medical billing and collection practices
• Ability to interpret and apply understanding of insurance explanation of benefits (EOB) strongly preferred
• Previous customer service experience handling high call volume strongly preferred
• Medicare/Medicaid billing experience preferred
• Knowledge of CPT and ICD10 codes strongly preferred
• Experience with Laboratory Billing and Laboratory Information System (LIS) preferred
• Working knowledge of prior authorization preferred
• Understanding of Women’s Health & Genetics processes preferred
• XIFIN experience preferred
• Bilingual in English and Spanish preferred

Desired Skills:

• Excellent verbal and written communication skills
• Ability to follow established program protocols and procedures
• Ability to review large amounts of data for accuracy
• Must be organized and detail-oriented
• Computer proficiency - MS Windows, MS Office, and database experience

Physical and Remote Technical Requirements

This is a remote position, and you will need to meet the following technical requirements:

• Internet speed of at least 50 megabytes per second
• Ability to connect equipment to router/modem with Ethernet cord
• Equipment cannot be connected through Wi-Fi or satellite internet

You will also need to be able to work in a home office setting with minimal distractions and meet the physical requirements of the job, including prolonged periods of sitting at a desk and working on a computer.

What We Offer

At blithequark, we offer a comprehensive benefits package, including:

• Medical, Dental, Vision, Life, STD/LTD
• 401(k) and Employee Stock Purchase Plan
• Paid Time Off (PTO) or Flexible Time Off (FTO)
• Tuition Reimbursement

We also offer a competitive pay range of $15.50-$20.00 per hour, depending on your skills and experience.

Our Culture and Values

At blithequark, we are committed to creating a diverse and inclusive workplace where everyone feels valued and respected. We strive for inclusion and belonging in the workforce and do not tolerate harassment or discrimination of any kind. We make employment decisions based on the needs of our business and the qualifications and merit of the individual.

How to Apply

If you are a motivated and experienced customer service professional looking for a new challenge, please apply to this job. We encourage all qualified applicants to apply, and we look forward to hearing from you.

Accessibility and Accommodations

If you are an individual with a disability who needs assistance using our online tools to search and apply for jobs, or needs an accommodation, please visit our accessibility site or contact us at blithequark Accessibility.

Conclusion

Thank you for considering this exciting opportunity to join our team at blithequark. We are committed to making a positive impact on the lives of our patients and clients, and we look forward to welcoming you to our team. Apply now to take the first step in your new career!