Customer Resolution Specialist I

Job not on LinkedIn

🔥 3 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $39 - $44 / hour

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Stanford Health Care

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1885

🏥 Healthcare

⚕️ Healthcare Insurance

📚 Education

Healthcare • Healthcare Insurance • Education

Stanford Health Care is a major academic medical center affiliated with Stanford Medicine. It provides world-renowned patient care, emphasizes innovation and research, and offers a wide range of clinical services and career opportunities across nursing, advanced practice, allied health, laboratory, technology, administration, and other areas. The organization promotes values such as C-I-CARE (respect, courtesy, personal connection), sustainability, dedication, and community collaboration across physicians, researchers, professors, and students to advance health, healing, and knowledge globally.

📋 Description

• Provide excellent customer service and resolve patient concerns and inquiries with a goal of first-call resolution • Establish financial arrangements, research patient disputes, and explain revenue cycle processes • Document customer encounters in Epic Electronic Medical Record (EMR) • Respond to email, fax, letters, Epic EMR, and Epic CRM in-basket communications • Communicate and escalate issues to leadership in writing when necessary • Resolve hospital billing (HB) and professional billing (PB) inquiries, including insurance verification, benefits and eligibility, billing and payment issues, treatment authorization, and explanations of benefits • Perform or request adjustments and contractual write-offs • Collect or arrange budget plans for HB and PB self-pay balances and resolve related issues • Perform presumptive charity determinations as applicable • Meet daily productivity and quality standards • Train staff members or temporaries on job functions when required • Maintain understanding of departmental policies, hospital and professional billing procedures, and payer payment practices • Adhere to Stanford’s CI-CARE principles and maintain schedule adherence • Perform other assigned duties

🎯 Requirements

• High School diploma or GED equivalent or equivalent work experience required • One (1) year of progressively responsible experience in customer service, payment collection, medical billing terminology, Electronic Medical Record (EMR) systems, or call center roles, preferably in the healthcare industry • Knowledge of government/non-government payer requirements, reimbursement rules, laws, and regulations governing billing/collection activities • Familiarity with medical terminology, CPT-4, ICD-9, HCPCS, modifier coding, and reimbursement drivers • Understanding of customer service and telephone courtesy principles • Ability to organize, plan, analyze, and problem-solve • Attention to detail and follow-through • Strong verbal and written communication skills • Proficiency in Microsoft Office applications (Word and Excel) • Ability to communicate clearly in a high-paced call center environment and multitask • Ability to document steps taken while working accounts and handling phone calls in a high-paced call center environment • Working knowledge of all departmental systems