Customer Service Representative

Job Overview

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. Full-time role working 80 hours per pay period.

Location: After successful completion of training and consistently being able to meet productivity goals, position has the ability to work from home after training. In-person training is at Medical Associates West Campus (1500 Associates Drive)

Benefits Package is Worth Over $20,000 and 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 a credit balance 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.