Medical Receptionist

Russell Tobin; United States; Remote; USD 10,000 - 60,000; Full time

Job summary

An innovative healthcare company is seeking a Medical Receptionist/Customer Service representative to join their remote team in South Carolina. This role involves providing exceptional service to patients, assisting with billing and claims, and ensuring smooth coordination of benefits. The ideal candidate will have strong communication skills and a background in customer service or medical billing. With a supportive work environment and comprehensive benefits, this position offers a fantastic opportunity to make a meaningful impact in the healthcare industry while enjoying the flexibility of remote work.

Benefits

Comprehensive Healthcare Coverage

401(k) Retirement Savings

Life & Disability Insurance

Employee Assistance Program

Legal Support

Pet Insurance

Employee Discounts

Qualifications

• 4+ years of related experience required, with strong communication skills.
• Preferred training in business administration or medical billing and coding.

Responsibilities

• Assist patients and providers with billing, claims, and prior authorization.
• Deliver exceptional customer service and escalate complaints as needed.

Skills

Verbal Communication

Written Communication

Interpersonal Skills

Mathematical Skills

Organizational Skills

Analytical Skills

Attention to Detail

Education

High School Diploma or GED

Two-Year Degree

Four-Year Degree

Tools

Microsoft Excel

Microsoft Outlook

Microsoft Word

Job description

Job Title: Medical Receptionist/Customer Service

Location: Remote (South Carolina) United States

Job Type: Contract

Duration: 06+ Months with the possibility of extension

Pay Rate: $17.00/hour on W2

Training: 3 weeks, M-F 8:30 AM – 5:30 PM

Regular Schedule: M-F 9:00 AM – 6:00 PM

Position Summary: Under the supervision of an Operations Manager, the Patient Access Specialist provides advanced services to patients, providers, and caregivers for a manufacturer-sponsored program.

Primary Duties and Responsibilities

• Assist patients, providers, and caregivers with:
• Billing and coding support
• Claims assistance, tracking, and submission
• Prior authorization assistance and tracking
• Coordination of benefits
• Welcome calls
• Advanced alternate coverage research
• Appeals/Denials processing
• Intake and reporting of adverse events as directed
• Deliver exceptional customer service and escalate complaints as needed.
• Serve as a regional expert on payer trends, reporting issues such as billing/claim denials and pricing errors.
• Process necessary correspondence.
• Coordinate with internal and external service providers to meet service level agreements (SLAs).
• Work on moderately complex problems, exercising judgment within defined procedures.
• Operate independently from a queue (phone or system) while adhering to standard operating procedures.
• Perform additional related duties, such as benefit verifications and patient assistance program determinations.

Experience & Educational Requirements

• High school diploma or GED required.
• Preferred training in business administration, accounting, computer sciences, medical billing and coding, or customer service.
• 4+ years of directly related experience required.
• A two-year degree may substitute for 2 years of experience; a four-year degree may substitute for 4 years.
• Strong verbal and written communication skills.
• Ability to build productive relationships with internal and external stakeholders.
• Advanced interpersonal, mathematical, and organizational skills.
• Basic analytical skills and attention to detail.
• Knowledge of accounting principles, pharmacy operations, and medical claims.
• Familiarity with medical industry terminology and healthcare billing.
• Proficiency in Microsoft Excel, Outlook, and Word.

Work Environment & Physical Requirements

• Standard office environment (remote).
• Sedentary work involving sitting, reaching, lifting, and typing.
• Prolonged screen time (75% or more).
• Ability to manage stressful situations as they arise.

Benefits Info

Russell Tobin offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance and employee discounts with preferred vendors.

Seniority Level

Associate

Employment Type

Contract

Job Function

Art/Creative and Administrative

Industries

Hospitals and Health Care, Health and Human Services, and Public Health