Insurance A/R - Call Center Rep (REMOTE)

Lensa; Antioch (TN); Remote; USD 35,000 - 45,000; Full time

Job summary

A leading company is seeking an Insurance A/R - Call Center Representative to provide exceptional customer service in a remote role. The ideal candidate will handle inquiries, resolve issues, and ensure a positive customer experience. Strong communication skills and attention to detail are essential. Join a dynamic team focused on delivering quality service and support to patients and insurance companies.

Qualifications

• 1 year of call center experience with high call volumes preferred.
• Experience with medical revenue cycle processes is a plus.

Responsibilities

• Handle customer inquiries and provide solutions through multiple channels.
• Document actions and resolve issues in a timely manner.
• Perform insurance follow-up and coordinate benefits issues.

Skills

Communication

Problem Solving

Organizational Skills

Education

High School Diploma or GED

Associate Degree in customer service

Tools

Microsoft Office Suite

Customer Management Systems

Job description

Insurance A/R - Call Center Rep (REMOTE)

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Job Summary

The Insurance A/R - Call Center Rep (REMOTE) is the primary point of contact for customers, handling inquiries, providing information, resolving issues, and ensuring a positive customer experience. This role requires strong communication skills, attention to detail, and the ability to handle a variety of customer requests professionally and efficiently. The Customer Service Representative I will work closely with other team members and departments to address customer needs and ensure satisfaction.

Essential Functions

• Handle customer interactions through multiple communication channels, using proficient written and verbal communication skills.
• Clarify customer inquiries, determine the cause, and provide the best solution to resolve the inquiry.
• Provide triage support services for resolving common issues related to platforms, user apps, and back-office processes.
• Resolve, expedite corrective actions, or escalate customer inquiries for resolution.
• Adhere to quality measures and standards through quality monitoring and evaluations.
• Document actions, issues, and resolutions accurately and timely in systems.
• Work in a performance-driven environment guided by specific metrics and standards measuring productivity and service quality.
• Perform other duties as assigned and comply with all policies and standards.
• Answer inbound calls from patients, insurance companies, and attorneys at the Shared Services Center - Nashville.
• Make outbound calls to collect on early-out self-pay patient balances.
• Perform insurance follow-up to address customer concerns, research billing issues per payer, and create appropriate adjustments.
• Ensure adjustments receive proper approval and sign-off.
• Coordinate benefits issues with patients.

Qualifications

• High School Diploma or GED required.
• Associate Degree in customer service, business, or related field preferred.
• At least 1 year of experience in a hospital or physical business office preferred.
• At least 1 year of call center experience with high call volumes and customer correspondence.
• Experience with medical revenue cycle processes from scheduling to final account disposition.
• Knowledge of insurance collection follow-up or self-pay collections.
• Experience with EOBs, Remits, and UB-04s preferred.

Knowledge, Skills, and Abilities

• Strong verbal and written communication skills for professional interaction.
• Experience with customer service software, call management systems, ERP, or CRM tools is a plus.
• Proficient in Microsoft Office Suite (Word, Excel, Outlook), Google Suite, and customer management systems.
• Ability to stay calm and professional under pressure in a fast-paced environment.
• Excellent problem-solving skills and handling challenging situations.
• Detail-oriented with strong organizational and multitasking abilities.