Medical Billing Customer Service Specialist

RAYUS now offers DailyPay! Work today, get paid today!

The pay range for this position is $18.25- $26.39 based on direct and relevant experience.

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! The Customer Service Specialist serves as the primary point of contact for resolving medical billing issues for patient billing responsibilities. You will bridge the gap between patients, insurance companies, and internal departments to explain balances, verify demographics, and optimize Revenue Cycle Management processes with a focus on patient satisfaction.

This is a full-time remote position working 40 hours per week. Shifts are 9:30am-6:00pm CST.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

(85%) Patient Billing Customer Service

1. Assist clinics, referring doctors, attorneys, insurance companies and patients/responsible parties with
medical billing questions
2. Research explanation of benefits (EOBs) and/or denials in imaging system to assist patients and
explain balances
3. Respond to texts, email and mail regarding billing accounts, problem accounts, general questions and
concerns in a timely manner; route to appropriate departmental resources as needed
4. Escalate more complex inquiries to Senior Customer Service Specialist for support and resolution
5. Communicate effectively with various departments within Revenue Cycle Management
6. Meet or exceed team quality assurance standards

(10%) Administrative duties

7. Email itemized statements and attorneys, requesting letters of protection (LOPs) from attorneys
ensuring proper authorization is on file.
8. Update billing system with updated patient demographic information
9. Make calls to referring doctors, patients, insurance companies, and attorneys to receive updated
insurance or demographic information on patient accounts
10. Research Inaccurate and missed adjustments, duplicate charges, reverse collection decisions and
insurance denials

(5%) Performs other duties as assigned

COMPETENCIES:
1. Knowledge of and adherence to company policies and protocols
2. Knowledge of and adherence to HIPAA and safety guidelines
3. Knowledge of basic level computer skills; working knowledge of Windows and Microsoft Office Suite
products
4. Skilled in organizing and prioritizing work and following assignments through to completion
5. Skilled in written, electronic, and verbal communication
6. Ability to work independently and in a team environment
7. Ability to work in a fast-paced environment and meet established deadlines
8. Ability to be flexible in schedule and adaptable to constant change
9. Ability to effectively handle details with accuracy
10. Ability to maintain regular attendance and on-time arrival to work as scheduled
11. Ability to deliver high quality customer service to internal and external customers by communicating with integrity and compassion
12. Ability to resolve service recovery issues and understand when to escalate to the next level
13. Ability to remain calm in challenging situations
14. Knowledge of third-party payors
15. Ability to convey complex subject matter clearly
16. Ability to use office equipment such as computers, printers, scanners/copiers, fax machines, and
telephones

SUMMARY OF QUALIFICATIONS:

Required:

• High school diploma or equivalent
• 2 years' customer service experience

Preferred:

• Medical billing experience
• Associate degree
• Bilingual in Spanish or other languages

WORKING CONDITIONS:

• Requires use of office equipment, such as computers, fax machines, telephones and copiers
• Requires computer-related activities for extended periods of time
• Requires the ability to see, hear, speak, write and key
• May require some lifting, bending and stooping