Customer Resolution Specialist I

Job not on LinkedIn

🔥 2 minutes ago

🇺🇸 United States – 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.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Stanford Health Care

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1885

🏥 Healthcare

Healthcare

Stanford Health Care is a major academic medical center and integrated hospital system delivering comprehensive clinical care, specialty services, and patient support. The organization operates hospitals, outpatient clinics and programs, offers clinical trials and telehealth (video visits), and provides patient-facing services such as a MyHealth patient portal, billing/insurance assistance, and resources for referring physicians, nurses and allied health professionals. It also engages with the community through donations, visitor services, and COVID-19 resources.

📋 Description

• Provides excellent customer service by resolving concerns and responding to patient inquiries with a goal of first-call resolution • Establishes financial arrangements, researches patient disputes, and explains Revenue Cycle processes • Documents customer encounters in Epic Electronic Medical Record (EMR) • Responds to email, fax, letters, Epic EMR, and Epic CRM in-basket communications • Communicates and escalates issues to leadership in writing when necessary • Resolves HB and PB inquiries involving insurance verification, benefits and eligibility, billing and payment issues, treatment authorization, and explanations of benefits • Performs or requests adjustments and contractual write-offs as applicable • Collects or arranges payment plans for HB and PB self-pay balances and resolves related issues • Performs presumptive charity determinations as applicable • Meets daily productivity and quality standards • Provides training or demonstrates tasks to other staff members or temporaries when required • Maintains understanding of departmental policies, hospital and professional billing procedures, and payer payment practices • Adheres to Stanford’s CI-CARE principles and maintains excellent schedule adherence • Performs 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 that govern billing/collection activities • Familiarity with medical terminology, CPT-4, ICD-9, HCPCS, modifier coding, and how these items drive reimbursement • Understanding of principles and practices of customer service and telephone courtesy • Able 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) • Able to communicate clearly in a high paced call center environment and multitask • Ability to document steps taken while working accounts/handling phone calls in a high-paced call center environment • Working knowledge of all systems used in the department • Associate's Degree in a business-related field preferred • Experience with Epic Professional Billing preferred • HFMA - Certified Rev Cycle Rep (CRCR) preferred