Healthcare Customer Service Specialist

Posted 90ds ago

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Job Description

Customer Service Representative at GetixHealth handling healthcare inquiries and billing issues. Collaborating in a fast-paced environment to ensure customer satisfaction.

Responsibilities:

  • Handle 60+ inbound and outbound calls per day related to billing, payments, medical claims, and coverage questions.
  • Respond to telephone inquiries using standard procedures and scripts.
  • Gather required information, research account details, and resolve customer concerns accurately and promptly.
  • Clearly explain billing information, insurance benefits, and available services to patients.
  • Assess patient needs and provide appropriate solutions or escalate issues when necessary.
  • Schedule work to ensure optimal call coverage and maintain daily productivity.
  • Collaborate with leadership and peers using screen-sharing tools to support real-time problem-solving and performance goals.
  • Support department initiatives and contribute to continuous improvement efforts.
  • Maintain strict adherence to HIPAA regulations and confidentiality policies.
  • Assist with department goals and recommend improvements to enhance efficiency.

Requirements:

  • Bilingual (Spanish) preferred (not required)
  • High School Diploma or GED required; additional education is a plus.
  • 1–2 years of customer service experience required.
  • Healthcare, insurance, or medical collections experience preferred.
  • Familiarity with Medicaid, Medicare, Workers’ Compensation, and liability claims preferred.
  • Basic understanding of medical terminology and the healthcare revenue cycle.
  • Proven experience working with multiple systems and databases in a fast-paced environment.

Benefits:

  • Comprehensive Health Coverage: Group medical, dental, and vision plans available from the first day of the month following 90 days of full-time employment.
  • Life and Disability Insurance: Basic life/AD&D, short-term, and long-term disability coverage provided, with options for voluntary life/AD&D.
  • 401(k) Retirement Savings Plan: Eligible to participate in the company’s 401(k) plan at the beginning of the first calendar quarter following three (3) months of continuous service.
  • Paid Time Off (PTO): Accrue Paid Time Off starting on your first day of employment.
  • Flexibility in Benefits: The company reserves the right to amend, modify, or terminate any benefits programs as needed.