Healthcare Customer Service Specialist

Opportunity to join our business operations team as a Healthcare Customer Service Specialist. This full-time, benefit eligible position will work in our corporate Bloomington offices. Benefits include health, dental, life, long-term disability, long-term care, and 401(k).

This position is responsible for answering customer inquiries pertaining to benefits, claims resolution, billing questions, and provides information and education to customers, as appropriate, about a variety of financial support programs. Validates patient demographic information.

Key Result Areas: The primary responsibilities for this position include but are not limited to:

  1. Answer inbound customer requests in a friendly, caring and professional fashion via telephone or email or any other additional method of communication.
  2. Assume responsibility as contact and interface for customer regarding support, striving to provide first call for problem resolution.
  3. Educate patients on payment support opportunities such as: self-pay discounts, underinsured application and hospital charity care programs.
  4. Process and validate patient data interface feeds from the hospitals.
  5. Manage of insurance eligibility work queues.
  6. Elevate issues following escalation procedure timely and as appropriate.
  7. Will need to handle daily combination of inbound phone call as well as off phone tasks (emails, process and distribute daily mail, etc.).
  8. Other duties as assigned.

Direct Reports: None

Education and Experience:

  • High School Diploma or GED
  • Call center or customer service experience preferred
  • Healthcare/Insurance industry background experience preferred
  • Excellent phone skills
  • Computer literacy. Must have working knowledge of the following Microsoft products: Excel, Outlook, and Word

Equipment/Software/Systems Used:

  • Microsoft Office
  • Practice management software
  • Payor and hospital websites
  • Telephone

Required Certificates, Licenses and Registrations: None

Working Conditions:

Working conditions are of a normal office environment, including sitting, standing, fluorescent lighting, computer work, and other normal office conditions. This position spends a significant amount of time using the telephone, on the phone queues for their entire shift from 8:00 a.m. to 4:00 p.m., Monday through Friday, and will be expected to manage both incoming and outgoing calls. Maybe asked to work additional hours upon request.

Performance Standards:

  • Meet annual performance evaluation objectives
  • Support employer’s mission at all times
  • Demonstrate commitment to high professional ethical standards
  • Employee will be friendly, responsive, and welcoming to customers and co-workers that he or she serves
  • Provides quality customer service to all customers and co-workers
  • Exhibits outstanding and consistent verbal and written communication skills
  • Acts appropriately to ensure accuracy and reliability of information

This job description is intended to describe the general nature and level of work being performed by people assigned to this position. It is not intended to be an exhaustive list of all responsibilities, activities and skills required of the position and people in the position.

EPPA is an equal opportunity and affirmative action employer.

To Apply to this job Please go to website address given in Source below