This is a Fully Remote Job
About Our Client:
This organization operates within the healthcare services industry, focusing on facilitating patient access to health care and supporting informed health decisions. It addresses challenges related to health care billing and patient inquiries by providing clear, compassionate guidance and resolving complex billing issues. The organization serves a significant volume of members daily, ensuring access to appropriate care through effective communication and support.
About the Opportunity:
The CUSTOMER SERVICE REPRESENTATIVE - BILLING II role is designed to provide members with detailed information and support regarding their health care billing. This position is responsible for managing a high volume of inbound calls to resolve escalated billing issues, improve customer understanding of health care plans, and enhance member satisfaction. The role contributes directly to the organization by ensuring clarity in billing communications and assisting members in navigating complex health care information.
Responsibilities:
Answer a high volume of calls from patients or their representatives regarding billing inquiries
Translate medical terminology into understandable information for members
Research, troubleshoot, and resolve complex billing issues and customer complaints
Navigate the billing system and other relevant applications efficiently
Maintain a tracking log of all patient contacts
Perform additional projects or tasks as required by business needs
Comply with all HIPAA and regulatory requirements at all times
Requirements:
Bilingual in English and Spanish
Minimum age of 18 years
High school diploma or GED equivalent
At least 1 year of call center experience handling high-volume inbound calls
At least 1 year of experience in a medical office or healthcare setting resolving patient concerns
Knowledge of healthcare claims billing, finance, and eligibility processes
Ability to simplify complex healthcare information for members
Proficient in computer use and Windows applications
Availability to work a full-time schedule with shifts between 8:30 AM and 8:00 PM ET, Monday to Friday
Commitment to full-time attendance during training with no absences
Strong independent work ethic and accountability
Excellent listening, rapport-building, and compassionate communication skills
Skilled in conflict management and resolving stressful situations
Pay Range and Compensation Package:
Starting pay is $17.20+ per hour
Salary offers depend on skills, experience, education, and certifications
Eligibility for annual performance bonus compensation
Benefits & Perks:
Medical, supplemental health, dental, and vision insurance for full-time employees
Well-being and mental health programs
Vacation, health/flex time, and paid holidays including an additional personal day
Financial coaching and 401(k) plan with company match
Employee stock purchase plan
Life and disability insurance with buy-up options
Flexible spending accounts
Education assistance programs
Career advancement opportunities
Equal Opportunity Statement:
Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin.
Note:
TalentHop is a recruitment partner of this role. Please note that all employment decisions, including candidate assessment, interviews, hiring, compensation, and employment terms, are made exclusively by the hiring employer.