Customer Service Specialist I #Full Time… at Columbia… · Fort Lee

Summary: Columbia University Irving Medical Center is a top healthcare provider network, seeking a Customer Service Specialist I to support ColumbiaDoctors. The role involves handling incoming calls from patients and insurance carriers, managing payment arrangements, and updating patient information.

Responsibilities:
- Handle large volume of calls and perform work in a timely manner
- Attempts to collect full payment from patient or guarantor in a professional and courteous manner
- Establishes payment arrangements per guidelines. Documents terms in billing system
- Applies of payments collected over the phone to each date of service
- Handles customer inquiries, disputes and complaints. Escalates contentious complaints to supervisor or higher management
- Obtains all insurance, demographic, guarantor information and updates patient profile as well as bill third party payers as appropriate
- Clearly documents in system summary of work and follow up steps after each call

Required Qualifications:
- High school graduate or GED certificate is required
- A minimum of 6 months' experience in a physician billing or third party payer environment
- Must demonstrate an understanding of contracts, insurance benefits, exclusions and other billing requirements as well as claim forms, HMOs, PPOs, Medicare, Medicaid and compliance program regulations
- Candidate must demonstrate the ability to understand and navigate the payer adjudication process

Preferred Qualifications:
- Patient financial and practice management system experience in Epic and/or other electronic billing systems
- Knowledge of medical terminology
- Previous call center/claims experience
- Previous experience in an academic healthcare setting

Required Skills: Physician billing, Third party payer environment, Contracts and insurance benefits knowledge, Claim forms, HMOs, PPOs, Medicare, Medicaid, Compliance program regulations, Payer adjudication process, Epic, Electronic billing systems, Medical terminology, Call center experience, Claims experience, Academic healthcare setting experience, Professional and courteous behavior

Benefits: Competitive comprehensive Benefit package to eligible employees, Healthcare, Various other benefits, Paid Time off to promote a healthy lifestyle