Customer Service Representative (Medical Billing)

Gryphon Healthcare; Houston (TX); Presencial; USD 36 000 - 48 000; Tempo integral

Resumo da oferta

Gryphon Healthcare in Houston, TX seeks a Customer Service Representative to be the first contact for clients, handling inquiries and assisting the Medical Records Department with record retrieval.

The role requires experience with medical insurance verification, ability to interpret EOBs, strong data entry, and excellent communication. 1 year in a medical CS environment is preferred; bilingual ability is a plus.

Qualificações

• High school diploma required.
• 1 year of customer service experience in medical environment.
• Knowledge of medical billing and collection practices.
• HIPAA confidentiality and data privacy awareness.
• English proficiency required; bilingual is helpful but not required.

Responsabilidades

• Answer inbound calls and identify the customer’s needs.
• Process patient payments and generate statements.
• Review healthcare claims across multiple systems.
• Ensure benefits are applied to each claim.
• Provide excellent customer service during calls and follow up as needed.

Conhecimentos

Customer service

Data entry

Communication

Problem solving

Teamwork

Formação académica

High School Diploma

Ferramentas

EMR systems

EDI

Outlook

Descrição da oferta de emprego

We are seeking an enthusiastic and dedicated Customer Service Representative to join our team. In this role, you will be the first point of contact for our clients, delivering exceptional service and support.

In addition to answering client inquiries and resolving issues, you will assist the Medical Records Department by retrieving records for patients, attorneys, and third-party vendors.

The ideal candidate will have:

Experience with medical insurance verification

Ability to interpret Explanation of Benefits (EOBs)

Strong data entry skills and attention to detail to maintain accurate records

Excellent communication skills and prior call center experience

A genuine passion for helping others and delivering outstanding customer service

If you thrive in a fast-paced environment and enjoy making a positive impact, we encourage you to apply!

Job Description- Customer Service Representative

Location: Houston, TX, 77041

Skills Required:

JOB SUMMARY: The Customer Service Representative is responsible for responding to patient account inquiries in compliance with corporate collections policies, processing patient payments, and generating patient statements.

DUTIES AND RESPONSIBILITIES:

• Answer incoming phone calls from customers and identify the type of assistance the customer needs.
• Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems.
• Own problems through to resolution on behalf of the customer/patients in real time through comprehensive and timely follow-up.
• Review and research incoming healthcare claims for patients by navigating multiple computer systems and platforms.
• Ensure that the proper benefits are applied to each claim by using the appropriate processes and procedures.
• Communicate and collaborate with patients to resolve issues, using clear, simple language to ensure complete understanding of their bill/statement.
• Meet performance goals established for the position in the areas of efficiency, accuracy, quality, member satisfaction, and attendance.
• Problem-solving by identifying and resolving patient billing issues.
• Demonstrate excellence in Customer Service when speaking with patients on the phone.
• Continued Medical Education to stay abreast of current issues, trends, and changes in the laws and regulations governing medical billing.
• Provide support to other members of the billing department team as needed.
• Perform other duties as assigned.

COMPETENCIES:

• Analytical
• Design
• Problem Solving
• Technical Skills
• Customer Service
• Interpersonal Skills
• Oral Communication
• Teamwork
• Ethics
• Organizational Support
• Motivation

EDUCATION REQUIREMENTS:

High School Diploma

EXPERIENCE REQUIREMENTS:

1 year of experience in Customer Service in a Medical environment such as a clinic, hospital, or ER

SPECIAL KNOWLEDGE, SKILLS AND ABILITIES REQUIRED:

• Knowledge of principles and processes for providing customer services
• Knowledge of medical billing and collection practices
• Knowledge of basic medical coding and third-party operating procedures and practices
• Maintains confidentiality of patient data and medical records in compliance with HIPAA guidelines and regulations
• EMR, EDI, and Commercial Insurance Company systems
• Ability to represent the company in a professional manner and handle patient issues with sensitivity and confidentiality
• Detail-oriented and accurate data entry skills
• Strong organizational skills and the ability to prioritize workload
• Bilingual is helpful but not required
• Must be able to write and speak effectively in English
• Must demonstrate interpersonal skills with all levels of the billing and management team
• Must be able to work well in a team environment
• Must have basic computer literacy that includes keyboarding skills with the ability to utilize Outlook and to navigate in a Windows environment

WORKING ENVIRONMENT:

Ability to work in a fast-paced, high-volume, and dynamic environment. Able to flex hours and overtime to meet needs related to unanticipated volume, changes, and/or problems.