Patient Services Specialist II
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Job Description
Patient Claim Specialist at ModMed ensuring excellent account support for patients in a modern Healthcare IT environment. Focused on improving patient experience and communication while managing patient claims and inquiries.
Responsibilities:
- Serve as primary contact for all inbound and outbound patient calls regarding patient balance inquiries, claims processing, insurance updates, and payment collections
- Initiate outbound calls to patients of RCM clients to understand and address any account/payment issues, such as demographic and insurance updates
- Input and update patient account information and document calls into the Practice Management system
- Other duties as required to support and enhance our customer/patient-facing activities
Requirements:
- High School Diploma or GED required
- Availability to work 11:30 am - 8:30 pm EST OR 12:00 pm to 9:00 pm EST
- Manage/ field 60+ inbound calls per day
- Bilingual is preferred
- Minimum of 1-2 years of previous healthcare administration or related experience required
- Basic understanding of medical billing claims submission process and working with insurance carriers required (e.g., Medicare, private HMOs, PPOs)
- Proficient knowledge of business software applications such as Excel, Word, and PowerPoint
- Strong communication and interpersonal skills with an emphasis on the ability to work effectively over the telephone
- Ability and openness to learn new things
- Ability to work effectively within a team in order to create a positive environment
- Ability to remain calm in a demanding call center environment
- Professional demeanor required
- Ability to effectively manage time and competing priorities
Benefits:
- Comprehensive medical, dental, and vision benefits, including a company Health Savings Account contribution
- 401(k): ModMed provides a matching contribution each payday of 50% of your contribution deferred on up to 6% of your compensation
- After one year of employment with ModMed, 100% of any matching contribution you receive is yours to keep
- Generous Paid Time Off and Paid Parental Leave programs
- Company paid Life and Disability benefits
- Flexible Spending Account
- Employee Assistance Programs
- Company-sponsored Business Resource & Special Interest Groups that provide engaged and supportive communities within ModMed
- Professional development opportunities, including tuition reimbursement programs and unlimited access to LinkedIn Learning
- Global presence and in-person collaboration opportunities; dog-friendly HQ (US)
- Hybrid office-based roles and remote availability for some roles
- Weekly catered breakfast and lunch
- Treadmill workstations
- Zen and wellness rooms within our BRIC headquarters
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