Customer Service Representative

11 hours ago

🗽 New York – Remote

Although this job is listed in New York, this company may be open to hiring remote in other states.

💵 $22 - $24 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

💝 Customer Support

Apply Now

Receive Emails with Similar Jobs

Professional Physical Therapy

WebsiteLinkedInAll Job Openings

Healthcare Insurance • Wellness

Professional Physical Therapy is a leading provider of physical, occupational, and hand therapy in the Northeast, with over 200 offices and 630 therapists. They offer a wide range of services including orthopedic and sports physical therapy, women's physical therapy, and specialty therapies such as blood flow restriction and pelvic floor therapy. Their clinics focus on treating various conditions like chronic pain and sports injuries, utilizing advanced clinical training and evidence-based care. Professional Physical Therapy also emphasizes a patient-centered approach, prioritizing safety and personalized rehabilitation plans. They offer telehealth services and are committed to clinical excellence and continuous professional development.

1001 - 5000 employees

⚕️ Healthcare Insurance

🧘 Wellness

📋 Description

• Accepts all payments, makes outbound calls and accepts all inbound calls; ensures all calls are responded to from all parties (patients, clinics, insurance carriers, vendor) within a specific response-to-call timeframe and with the intent to resolve the caller’s concern. • Assists patients in understanding billing statements to ensure swift resolution of outsizing balances. • Makes necessary charge corrections to accounts to ensure patient ledger is an accurate reflection of the services provided. • Utilizes all necessary tools and resources to resolve patient inquiries while on the phone or preparing/reviewing billing correspondence. • Has an in depth understanding of different payer regulations/requirements and communicates effectively with patients regarding their Explanation of Benefits (EOB). • Easily navigates Raintree and the Raintree ledger. • Ensures all accounts are documented accurately. • Follows scripts that are developed by the RCO management team to facilitate consistent and expedient account resolution. • Reviews all returned mail, contacts patients to verify current address, updates demographic information in Raintree, follows process to send statement to current address. • Responds to all patient calls to customer service regarding benefit questions, reviews Raintree TVBEN, utilizes insurance websites, and follows up with necessary department as needed. • Completes written responses to patients and customers regarding account resolution and complaint recovery. • Assists Customer Service team with patient balances and statement review. • May assist with submitting authorizations and authorizations follow up. • May assist with benefit verification, specifically during re-verification time. • Works with insurance carriers for claims follow up and status of outstanding bills. • Works with specific reports from Raintree and Yellowfin to ensure accuracy. • Reviews collection files prior to patients being sent to collections. • Provides support to staff for all functions of the RCO. • Able to identify and rectify potential problems within specific projects. • Behaves in a manner consistent with Professional’s mission, vision, and values. • Maintains a working knowledge of HIPAA, OSHA, Risk Management, and compliance regulations. • Attends Company meetings as required. • Practices confidentiality in accordance with Company policies and all laws and regulations. • Other duties as assigned by RCO Management.

🎯 Requirements

• Previous work experience (minimum three years) with healthcare customer service required. • Bachelor’s degree preferred. • Fully proficient in Raintree Navigation. • Must demonstrate consistency in exceeding productivity goals. • Strong organizational and time management skills are required. • Establishes a collaborative environment capitalizing on employee talents, experience, interests, and diversity to reach high performance. • Embraces diversity within the work environment and consistently deals with internal and external customers in a friendly and respectful manner; supports teamwork and cooperation with work partners in daily activities. • Excellent analytical and problem-solving skills. • Excellent communications skills are required. • Ability to work independently and follow-through and handle multiple tasks and/or special projects simultaneously.