Call Center Representative

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🤠 Texas – Remote

🤠 Texas – Remote

⏰ Full Time

🟢 Junior

📞 Call Center Representative

🚫👨‍🎓 No degree required

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Advanced Orthopaedics & Sports Medicine (Houston)

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 1983

⚽ Sports

🧘 Wellness

Sports • Wellness

Advanced Orthopaedics & Sports Medicine (Houston) is a multi-location medical practice in the Greater Houston area specializing in orthopedic surgery, sports medicine, pain management, rheumatology, occupational medicine, and physical and hand therapy. Since 1983 the practice has offered joint replacement and arthroscopy, fracture and bone correction treatment, spinal and joint injections, rehabilitation services, telemedicine, and coordinated care delivered by a large team of board-certified and fellowship-trained specialists across four clinics. The organization also engages in community outreach, patient education, and scholarships.

📋 Description

• Handle inbound and outbound calls regarding patient balances, insurance claims, and billing inquiries. • Provide clear and empathetic explanations of charges, payment options, and account statuses. • Assist patients with setting up payment plans and making payments. • Research and resolve billing discrepancies, denials, and adjustments. • Work with insurance carriers to verify claims status and escalate issues as needed. • Maintain a professional and courteous demeanor in all patient interactions. • Ensure timely and effective resolution of patient and payer concerns. • Document all customer interactions accurately in the system. • Adhere to HIPAA guidelines and company policies regarding patient information security. • Follow Fair Debt Collection Practices Act (FDCPA) guidelines when addressing outstanding balances. • Work closely with the billing, collections, and revenue cycle teams to improve patient financial engagement. • Provide feedback to management on recurring billing issues and recommend solutions. • Participate in training and team meetings. • Support special projects related to billing and collections.

🎯 Requirements

• High school diploma or GED required. • Minimum of 1 year of experience in healthcare customer service, billing, or insurance claims processing. • Excellent verbal and written communication skills. • Basic knowledge of orthopedic-related coding, medical terminology, and insurance procedures preferred. • Proficiency in Microsoft Office (Excel, Word, Outlook) and Athena software. • Ability to handle high call volumes and work in a fast-paced environment. • Strong problem-solving and conflict-resolution skills. • High attention to detail and ability to follow workflows accurately.

🏖️ Benefits

• Health insurance • Paid time off