Healthcare Customer Service Representative

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RAYUS Radiology is looking for a Customer Service Specialist to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together! As a Customer Service Specialist in our Revenue Cycle Management (RCM) group, you'll assist patients, clinics, referring doctors, attorneys, and insurance companies with medical billing questions. You'll answer telephone calls, respond to voice mails, and route email/mail to ensure the appropriate departmental resource follows up on billing accounts. While exceeding our Quality Assurance standards, you'll focus on the patient first, be accountable, and play an important part in creating a superior patient experience. This is a full-time fully remote position working 40 hours per week. Working Monday thru Friday; corporate hours.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

(85%) Customer Service

• Assists clinics, referring doctors, attorneys, insurance companies and patients/responsible parties with general questions
• Responds to RCM voice mail and email in a timely manner
• Routes telephone calls and mail to appropriate departmental resource for follow up on problem accounts
• Communicates effectively with various departments within Revenue Cycle Management
• Researches explanation of benefits (EOBs) and/or denials in imaging system in order to assist patients and explain balances
• Meets or exceeds team Quality Assurance standards
• Escalates more complex inquiries to Senior Customer Service Specialist for support and resolution

(10%) Administrative duties

• Faxes itemized statements and letters of protection (LOPs) to attorneys by request ensuring proper authorization is on file
• Updates billing system with updated patient demographic information
• Calls referring doctors, patients, insurance companies, and attorneys to get updated insurance or demographic information on patient accounts
• Researches missed discounts, duplicate charges, reverse collection decisions and insurance denials

(5%) Performs other duties as assigned

Required:

• High school diploma or equivalent
• 1-2 years previous customer service experience
• Proficient with using computer systems and typing
• Proficiency with Microsoft Excel, PowerPoint, Word, and Outlook

Preferred:

• Ability to speak Spanish or other languages in addition to English
• Health care experience