Medical Billing Specialist

Description :

• Inbound healthcare contact center representative role
• Handle patient phone calls and message inquiries, de-escalate issues, ensure patient satisfaction, and assist with navigating healthcare needs including insurance, billing, medical records, authorizations, and referrals, using impeccable C-I-CARE (a framework containing the key elements of a great interaction and effective communication that we use with patients and each other) in all interactions to ensure a positive experience.
• Collaborate with providers and other operations team members to complete urgent tasks pertaining to patient billing issues and questions.
• Handle inbound calls and emails from patients and proactively reach out to patients with open balances to assist with payment options, educate admins and patients on health insurance benefits, answer complex billing inquiries, resolve payment processing issues, support One Medical’s efforts to empower patients in resolving financial responsibilities, and maintain service level agreements in response time to admins and patients.
• Assisting admins with our member’s billing needs via 1Life’s tasking system to provide the best customer service.
• Investigating claims through insurance to ensure they were processed according to the patient benefit plan, including Reviewing and reconciling patient and insurance balances for accuracy.
• Master our technology suite including but not limited to RingCentral, Slack, G-suite,
• Zoom, and our Electronic Medical Record System 1Life, to be able to interact with team members and patients and complete daily work.
• Contribute to team development through rounding, attending team huddles, participating in team problem solving, supporting all in-office providers with urgent & stat patient needs.

Skills :

scheduling appointments, call center, medical record, Patient Registration, Patient Access, Customer service, medical terminology, medical billing, medical claim, Insurance Verification, EOB, ERB, Medical Records, prior authorization, Schedule appointments

Top Skills Details :

scheduling appointments,call center,medical record,Patient Registration,Patient Access

Additional Skills & Qualifications :

• Minimum of 1 year experience in medical billing, revenue cycle operations or insurance claims / billing
• medical billing call center is preferred, but someone from a clinical or hospital setting will work as well if they handled 20-30 interactions and billing inquiries daily
• This experience must be within the last 4- 5 years
• Average of 1 year of tenure
• Advanced proficiency in Medical Terminology
• Strong written and verbal communication skills
• Demonstrated Problem Solving and Multitasking skills.
• Proven ability to shadow and assist with new hire training.
• Experience with RingCentral / Zoom / Nice-In Contact preferred
• Familiarity with G Suite and Electronic Health Record systems required

Experience Level : Intermediate Level

Intermediate Level

About TEKsystems :

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity.

We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia.

As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change.

That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.