Customer Service Specialist I

Jobtailor; Fort Lee (NJ); On-site; USD 38,000 - 52,000; Full time

Job summary

Jobtailor in Fort Lee, NJ is seeking a Medical Billing Specialist to manage high-volume calls and drive timely claims processing. You will collect payments, establish payment plans, and document terms in the billing system using Epic.

The role requires at least 6 months in physician billing, familiarity with Medicare/Medicaid, and strong communication. You will work with payer information, resolve inquiries, and escalate issues as needed to ensure accurate patient accounts.

Qualifications

• High School Diploma or GED required.
• At least 6 months of physician billing or third-party payer experience.
• Knowledge of insurance contracts, benefits, exclusions and other billing requirements as well as claim forms, HMOs, PPOs, Medicare, Medicaid and compliance program regulations.

Responsibilities

• Handle a large volume of calls and work in a timely manner.
• Attempts to collect full payment from patient or guarantor in a professional and courteous manner.
• Establishes payment arrangements per guidelines.
• Documents terms in billing system.
• Applies payments collected over the phone to each date of service.
• Handles customer inquiries, disputes and complaints.
• Escalates contentious complaints to supervisor or higher management.
• Obtains all insurance, demographic, guarantor information and updates patient profile as well as bill third party payers as appropriate.
• Clearly documents in system summary of work and follow up steps after each call.

Skills

Billing Documentation

Payment Arrangements

Claims Processing

Insurance Information Collection

Dispute Resolution

Professional Communication

Customer Service

Problem Solving

Education

High School Diploma

GED Certificate

Tools

Epic

Electronic Billing Systems

Job description

• Handle large volume of calls and perform work in a timely manner.
• Attempts to collect full payment from patient or guarantor in a professional and courteous manner.
• Establishes payment arrangements per guidelines.
• Documents terms in billing system.
• Applies of payments collected over the phone to each date of service.
• Handles customer inquiries, disputes and complaints.
• Escalates contentious complaints to supervisor or higher management.
• Obtains all insurance, demographic, guarantor information and updates patient profile as well as bill third party payers as appropriate.
• Clearly documents in system summary of work and follow up steps after each call.

Requirements

• High school graduate or GED certificate is required.
• A minimum of 6 months experience in a physician billing or third party payer environment.
• Must demonstrate an understanding of contracts, insurance benefits, exclusions and other billing requirements as well as claim forms, HMOs, PPOs, Medicare, Medicaid and compliance program regulations.
• Candidate must demonstrate the ability to understand and navigate the payer adjudication process.
• Patient financial and practice management system experience in Epic and/or other electronic billing systems is preferred.
• Knowledge of medical terminology is preferred.
• Previous call center/claims experience is preferred.
• Previous experience in an academic healthcare setting is preferred.

Core Competencies

Demonstrates expertise in patient billing processes, including understanding of insurance contracts, compliance regulations, and the payer adjudication process. Proficient in managing high call volumes while maintaining professionalism and accuracy in documentation.

Highest-signal resume keywords

• Patient Billing Experience
• Understanding Of Insurance Benefits
• Payer Adjudication Process
• Epic Electronic Billing System
• Medical Terminology Knowledge

ATS Optimization Keywords

Hard Skills

• Billing Documentation
• Payment Arrangements
• Claims Processing
• Insurance Information Collection
• Dispute Resolution

Soft Skills

• Professional Communication
• Customer Service
• Problem Solving

Certifications & Qualifications

• High School Graduate
• GED Certificate

Industry Keywords

• HMOs
• PPOs
• Medicare
• Medicaid
• Compliance Program Regulations

Tools & Technologies

• Epic
• Electronic Billing Systems