Customer Service Representative

Job Overview

Description

Medical Associates Business Office is hiring a Customer Service Representative to answer patient questions via phone on a variety of topics including insurance and billing. This position has the opportunity to work from home if desired after training!

Schedule: During training, schedule is in-person Monday – Friday from 8am-5pm. Employee will have the opportunity to work 4 x 10-hour days or 5 x 8-hour days based on the scheduling needs of the department. This position is full-time role working 80 hours per pay period.

Location: After successful completion of training and consistently being able to meet productivity goals, this position has the ability for a hybrid schedule. In-person training is at Medical Associates West Campus (1500 Associates Drive)

Benefits Package Includes:

• Single or Family Health Insurance with discounted premium rates for wellness program participation.
• 401k with immediate matching (50% on the dollar up to 7% of pay) + additional annual Profit Sharing
• Flexible Paid Time Off  Program (24 days off/year)
• Medical and Dependent Care Flex Spending Accounts
• Life insurance, Long Term Disability Coverage, Short Term Disability Coverage, Dental Insurance, etc.

Essential Functions & Responsibilities:

• Review, verify, and correct insurance records. Review account and correct demographics and A/R. Research claim activity; handle manual insurance claim requests; handle carve-outs; follow-up for payment.
• Respond to phone, written, and e-mail inquiries to identify, research and resolve billing issues. Handling EOB's, submitting physician notes for protests and appeals, resubmitting corrected HCFA's, protesting denials and follow-up to ensure the claim reaches end of process.
• Responsible for handling and maintaining current assigned work queues. 
• Possess knowledge to communicate with clinical departments, Insurance staff, Insurance companies, and many other third parties to resolve patient billing questions.
• Work assigned reports and audit accounts to ensure proper disbursal, refunds and adjustments.
• Educate patients on MAC policies; interpret their Explanation of Benefits and monthly statements.
• Complete all additional assigned projects and duties.

Knowledge, Skills and Abilities:

Education: Equivalent to a high school diploma or GED.

Experience: From three months to one year of similar or related experience. Previous customer service experience required.

Other Skills: Outstanding communication and customer service skills, high attention to detail, ability to multi-task, and previous phone experience highly preferred. 

Physical Aspects:

Physical Aspects:

Reaching - Extending hand(s) and arm(s) in any direction.

Lifting - Raising objects from a lower to a higher position or moving objects horizontally from position-to-position. This factor is important if it occurs to a considerable degree and requires the substantial use of the upper extremities and back muscles.

Fingering - Picking, pinching, typing or otherwise working, primarily with fingers rather than with the whole hand or arm as in handling.

Grasping - Applying pressure to an object with the fingers and palm.

Talking - Expressing or exchanging ideas by means of the spoken word. Those activities in which they must convey detailed or important spoken instructions to other workers accurately, loudly or quickly.

Hearing - Perceiving the nature of sound with or without correction. Ability to receive detailed information through oral communication and to make fine discriminations in sound, such as when making fine adjustments on machined parts.

Vision - 20 / 40 or better in the best eye with or without correction.

Repetitive Motions - Substantial movements (motions) of the wrists, hands and/or fingers.

Light Work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. If the use of arm and/or leg controls requires exertion of forces greater than that for Sedentary Work and the worker sits most of the time, the job is rated for Light Work.

Environmental Conditions:

None - The worker is not substantially exposed to adverse environmental conditions (such as in typical office or administrative work).

Medical Associates Clinic & Health Plans is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, pregnancy, age, national origin, marital status, parental status, disability, veteran status, or other distinguishing characteristics of diversity and inclusion, or any other protected status.

Please view Equal Employment Opportunity Posters provided by OFCCP https://www.eeoc.gov/poster