Healthcare Customer Service Representative

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Requisition ID: 124829
Job Category: Call Center
Location: United States-Alabama-Mobile-5441 Highway 90 West Suite 1 Mobile 36619
Posted Date: 10/10/2017 1:58:53 PM
Expert Global Solutions (EGS), an Alorica company, is a global customer service organization, serving the world’s leading companies and best-known brands. With more than 40,000 employees in locations around the world, our people deliver extraordinary service – via phone, email and chat, every day. Embracing a diverse workforce with a shared commitment to deliver outstanding customer service, EGS offers significant opportunity to build a rewarding career, in a dynamic and customer-oriented environment.
 
Principal Responsibilities
  • Communicate with Patients and Patients Representatives to resolve healthcare accounts while offering excellent customer service.
  • Maintain diplomacy when addressing matters escalated.
  • Provide thorough, efficient, and accurate documentation and updates in all required systems for each work event.
  • Responsible for meeting monthly goals and quality standards through efficient and accurate work processes.
  • Review open accounts to determine and take appropriate actions through understanding charges, billed claims, payments, denials, adjustments, and refunds.
  • Respond to verbal and/or written inquiries in a timely manner.
  • Process all correspondences with adherence with the Health Insurance Portability and Accountability Act (HIPAA) guidelines where applicable.  
  • Knowledge, understanding, and compliance with all applicable Federal, State, and Local laws and regulations relating to job duties.
  • Knowledge, understanding, and compliance with company policies and procedures.
  • Maintain knowledge of functional area and company policies and procedures.
  • Provide feedback to management concerning possible problems or areas of improvement.
  • Make recommendations to implement improved processes.
  • Perform other duties as assigned by management
  • High School Diploma or General Educational Development (GED) certificate or equivalent in relevant work experience desired.
  • Previous customer service and healthcare receivables experience preferred.
  • Understanding of health insurance providers, Workers' Compensation, Medicare, Medicaid, and liability claims processes and contracts.
  • Ability to maintain the highest level of confidentiality.
  • Proficient personal computer skills.
  • Excellent interpersonal, written, and oral communication skills.
  • Ability to work in a team fostered environment.
  • Ability to work in a multi-tasked environment.
  • Ability to prioritize and organize work.
  • Ability to adapt to a flexible schedule.
Work Environment
  • Office environment.
  • Ability to lift and/or move 20 pounds with or without accommodation.
We provide Equal Employment Opportunity for all individuals regardless of race, color, religion, gender, age, national origin, marital status, sexual orientation, gender identity, status as a protected veteran, genetic information, status as a qualified individual with a disability and any other basis protected by federal, state or local laws.
 
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