Customer Service – Medical

TEEMA Group; Boise (ID); On-site; USD 32,000 - 42,000; Full time

Job summary

TEEMA Group is seeking a Customer Service - Medical professional in Boise, Idaho. The role focuses on handling inbound calls, resolving patient billing concerns, and ensuring accurate documentation of account activity.

You will work under supervision to resolve routine issues and escalate complex ones as needed. The position requires experience in healthcare customer service, strong data processing skills, and the ability to thrive in a fast-paced, metrics-driven environment while maintaining

Qualifications

• Minimum 2 years of experience in a call center, customer service, collections, healthcare customer service, or revenue cycle environment.
• Demonstrated ability to process information quickly, accurately, and efficiently.
• Experience working in a metrics-driven environment focused equally on productivity, quality, and customer experience.
• Ability to thrive in a fast-paced environment without sacrificing accuracy or quality.

Responsibilities

• Accepts inbound phone calls from patients, physician offices, and insurance carriers to collect self-pay balances and resolve concerns promptly within defined response times.
• Makes outbound phone calls to patients, physician offices, and insurance carriers as needed.
• Adheres to HIPAA guidelines and verifies patient identity before disclosing information.
• Documents all patient account activities concisely, including future steps needed for resolution.
• Under supervision, resolves routine questions and escalates complex issues appropriately.
• Responds to patient inquiries regarding billing procedures, policies, and statements.
• Interacts with administrative departments and hospital service areas to facilitate account resolution and explain insurance claim processing.

Job description

Job Title: Customer Service - Medical

Job ID: 90781

Location: Boise, Idaho

What you will be doing:

• Accepts inbound phone calls from patients, physician offices, and insurance carriers to collect self-pay balances and resolve concerns promptly within defined response times.

• Makes outbound phone calls to patients, physician offices, and insurance carriers as needed.

• Adheres to all applicable laws, regulations, and industry standards, including HIPAA guidelines.

• Verifies each patient's identity before disclosing information and updates account details (phone number, address, email).

• Maintains quality results by adhering to guidelines, call metrics, and time management standards.

• Follows provided scripts to facilitate consistent and expedient account resolution.

• Responds promptly to patient inquiries regarding billing procedures, policies, and statements.

• Utilizes multiple resources to resolve patient inquiries during calls.

• Documents all patient account activities concisely, including future steps needed for resolution.

• Under direct supervision, resolves routine questions and problems and escalates complex issues appropriately.

• Prepares written responses to patients regarding account resolution when necessary.

• Interacts effectively with administrative departments and hospital service areas to facilitate account resolution and explain insurance claim processing in clear, understandable terms.

• Actively engages in continuous learning, training programs, mentorship, and leadership development.

• Performs other duties as assigned.

What you must have:

• Minimum 2 years of experience in a call center, customer service, collections, healthcare customer service, or revenue cycle environment.

• Demonstrated ability to process information quickly, accurately, and efficiently.

• Experience working in a metrics-driven environment focused equally on productivity, quality, and customer experience.

• Ability to thrive in a fast-paced environment without sacrificing accuracy or quality.