Job Title:

Experienced Customer Service Specialist - Healthcare Billing, Revenue Cycle Management, blithequark

Job Description:

Transforming Healthcare, One Patient at a Time

At blithequark, we're revolutionizing the primary care experience by delivering high-quality care and service to our patients. As a Customer Service Specialist in our Healthcare Billing and Revenue Cycle Management team, you'll play a vital role in ensuring patient satisfaction and maintaining clear communication regarding financial matters. If you're passionate about delivering exceptional patient support and have a knack for problem-solving, we'd love to connect with you.

About blithequark

blithequark is a leading healthcare organization that's transforming the way we deliver care. Our team combines healthcare expertise with a customer-obsessed culture to deliver exceptional patient support. We're committed to making healthcare more accessible and less complicated for our members. Our culture emphasizes leadership principles of ownership and continuous improvement, supported by ongoing training and development.

A Day in the Life

As a Customer Service Specialist, you'll handle inbound calls from blithequark patients regarding their medical bills, insurance claims, and payment inquiries. Daily activities will include reviewing patient accounts, processing payments, explaining EOBs, and coordinating with internal stakeholders such as medical billing specialists, insurance verification teams, and healthcare providers to resolve billing discrepancies. You'll solve problems like incorrect charges, insurance claim rejections, payment plan requests, and billing confusion. Regular communication with insurance companies to verify benefits and claim status is essential. The role requires documenting all interactions in the electronic health record system and following up on pending issues.

Key Responsibilities:

* Handle patient phone calls and message inquiries, de-escalate issues, ensure patient satisfaction, and assist with navigating healthcare needs including insurance, billing, medical records, authorizations, and referrals, using impeccable C-I-CARE (a framework containing the key elements of a great interaction and effective communication that we use with patients and each other) in all interactions to ensure a positive experience.

• Collaborate with providers and other operations team members to complete urgent tasks pertaining to patient billing issues and questions.
• Proactively reach out to patients with open balances to assist with payment options, educate admins and patients on health insurance benefits, answer complex billing inquiries, resolve payment processing issues, support blithequark's efforts to empower patients in resolving financial responsibilities, and maintain service level agreements in response time to admins and patients.
• Assist admins with our member's billing needs via 1Life's tasking system to provide the best customer service.
• Investigate claims through insurance to ensure they were processed according to the patient benefit plan, including reviewing and reconciling patient and insurance balances for accuracy.
• Master our technology suite, including but not limited to RingCentral, Slack, G-suite, Zoom, and our Electronic Medical Record System 1Life, to be able to interact with team members and patients and complete daily work.
• Contribute to team development through rounding, attending team huddles, participating in team problem-solving, supporting all in-office providers with urgent & stat patient needs.

Essential Qualifications:

* 2+ years of customer service experience in a call center environment

• 1+ years with medical billing, insurance claims, or healthcare revenue cycle
• Demonstrated proficiency in Microsoft Office Suite
• Experience using electronic health records (EHR) or customer relationship management (CRM) systems
• Knowledge of HIPAA compliance and healthcare privacy regulations
• High school diploma or equivalent

Preferred Qualifications:

* Spanish Speaking

• Ability to work various shifts
• Strong problem-solving and documentation skills
• Ability to type 45+ WPM while maintaining accuracy

Why Join blithequark?

* Competitive compensation package, including a base pay range of $31,200/year in our lowest geographic market up to $50,000/year in our highest geographic market

• Opportunity to work in a dynamic and inclusive environment that values continuous improvement and ownership
• Comprehensive benefits package, including medical, financial, and other benefits
• Ongoing training and development opportunities to support your career growth
• Collaborative and supportive team environment that prioritizes patient satisfaction and well-being

How to Apply

If you're passionate about delivering exceptional patient support and have a knack for problem-solving, we'd love to connect with you. Please submit your application via our internal or external career site. We can't wait to hear from you!

Equal Opportunity Employer

blithequark is an equal opportunity employer and does not discriminate on the basis of protected veteran status, disability, or other legally protected status. We're committed to creating a diverse and inclusive environment that values continuous improvement and ownership. Apply for this job