Call Center Representative, Healthcare – Remote

Job Description

(Full Time, Remote)

The Call Center Representative (CSR) position is primarily responsible for the day to day customer service duties while establishing helpful and friendly relationships with our patients.

As a Call Center Representative at CHS Shared Service Center – Nashville, you’ll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including health insurance, flexible scheduling, 401k and other elective benefit programs.

Required:

• One (1) or more years of experience in a call center environment
• One (1) or more years of experience in healthcare
• Effective and professional telephone communication / customer service skills.
• Must be able to work independently in order to achieve goals, objectives and productivity requirements.
• Must be able to be flexible and organized while functioning well under stressful conditions.
• Education: High School Diploma or equivalent

Preferred:

• One (1) or more years of experience insurance collections follow up or accounts receivable (A/R)
• Proven success in a production or metrics based environment.
• Ability to define problems, collect and validate data, establish facts, and draw valid conclusions
• Knowledge of medical revenue cycle processes from scheduling through agency placement and final account disposition.
• Knowledge of medical terminology, EOBs, remit and UB-04 claims.
• Bi-lingual
• Computer Skills: General knowledge of Microsoft Office tools including Excel and Word

About the Opportunity:

• Answer in-bound calls from patience, insurance companies and attorneys
• Perform insurance follow up to address customer concerns
• Research customer billing concerns per payer and create appropriate adj as needed
• Ensure created adjustments receive proper approval and sign off
• Address coordinate of benefit issues with patients
• Escalate coding issues to the proper facility liaison
• Forward all patient and payer refund correspondence to the Overpayment Resolution team
• Performs other duties as directed by the Manager and/or Director.
• Must be able to to train Mon-Fri 8:00am – 5:00pm for 4 weeks
• Must be able to work Mon-Fri 9:30am to 6:00pm starting out, after training. (Note: Opportunities to change shifts will be permitted upon availability*)
• This is a remote position

We know it’s not just about finding a job. It’s about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible.

Community Health Systems is one of the nation’s leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.

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