Senior Customer Experience Representative – Remote Opportunity
Join careerzynith, a leading organization in the healthcare industry, as a Senior Customer Experience Representative. In this role, you will be responsible for ensuring accurate and timely processing of claims, serving as a mentor and resource to fellow billing staff, and completing special projects as needed. As a Senior Customer Experience Representative, you will be an integral part of careerzynith's mission to deliver exceptional customer experiences and drive business growth.
- *About careerzynith**
careerzynith is a dynamic and innovative organization that is committed to providing high-quality healthcare services to our patients. Our team is passionate about delivering exceptional customer experiences and making a positive impact on the lives of our patients and their families. We are proud to be a part of the healthcare industry and are dedicated to staying at the forefront of the latest trends and technologies.
- *Your Everyday**
As a Senior Customer Experience Representative, your primary responsibilities will include:
- Maintaining responsibility of the timely submission of all professional claims assigned
- Working daily electronic billing file and submitting insurance claims to third-party payers; reviewing daily edit reports from the professional billing system and making necessary corrections to allow electronic submission
- Reviewing error reports from electronic payers; identifying errors and making appropriate corrections to ensure accurate claim submission
- Monitoring claim rejections for trends and issues and reporting findings to supervisor
- Preparing and submitting manual insurance claims to third-party payers who do not accept electronic claims or who require special handling
- Coordinating medical record requests as needed
- Documenting billing activity on the patient account; ensuring compliance with all state and federal billing regulations and reporting any suspected compliance issues to the Billing Manager and/or Supervisor
- Working with supervision, management, and the patient accounting staff to improve processes, increase accuracy, create efficiencies, and achieve the overall goals of the department
- Observing best practice processes in billing, follow-up, and customer service activities
- Participating in staff training that aligns with recognized improvement opportunities and increasing understanding of Medicare/Medicaid requirements as well as general billing and follow-up processes
- Acting in accordance with careerzynith's mission and values, while serving as a role model for ethical behavior
- Adhering to federal and state regulations related to the protection of patient information (e.g., the Health Insurance Portability and Accountability Act (HIPAA) as well as facility-specific guidelines)
- *The Must-Haves**
To be successful in this role, you will need to possess the following qualifications:
- EDUCATION/EXPERIENCE QUALIFICATIONS: + Required: High School Diploma/GED or equivalent OR 2 years of work experience+ Preferred: 3 years of experience in a healthcare environment, particularly in healthcare billing, collections, payment processing, or denial management
- LICENSES AND CERTIFICATIONS: + Certification in billing and/or coding
- KNOWLEDGE, SKILLS, AND ABILITIES: + Ability to pass basic computer skills test and system level training+ Working knowledge of system reports and the ability to analyze system information to determine the impact of possible changes+ Demonstrates knowledge of:
- Hospital and professional billing processes and reimbursement
- Third-party contracting
- Insurance protocols, delay tactics, systems, and workflows
- ERISA guidelines for denials and appeals
- Regulations related to denials and appeals + Ability to take initiative by identifying problems, conceptualizing resolutions, and implementing change+ Possesses efficient time-management skills and proven ability to multitask under tight deadlines+ Demonstrates excellent customer service skills+ Effective writing and communication skills+ Strong comfort level with computer systems
- *Work Environment and Company Culture**
As a Senior Customer Experience Representative at careerzynith, you will be part of a dynamic and supportive team that is passionate about delivering exceptional customer experiences. Our team is committed to staying at the forefront of the latest trends and technologies, and we are dedicated to providing a positive and inclusive work environment that fosters growth and development.
- *Career Growth Opportunities and Learning Benefits**
careerzynith is committed to providing opportunities for career growth and development. As a Senior Customer Experience Representative, you will have access to:
- Ongoing training and development programs to enhance your skills and knowledge
- Opportunities for advancement and career growth within the organization
- A supportive and inclusive work environment that fosters collaboration and teamwork
- A comprehensive benefits package that includes health, dental, and vision insurance, as well as a 401(k) plan and paid time off
- *Compensation, Perks, and Benefits**
careerzynith offers a competitive compensation package that includes:
- A competitive salary
- Comprehensive benefits package that includes health, dental, and vision insurance, as well as a 401(k) plan and paid time off
- Opportunities for career growth and advancement
- A supportive and inclusive work environment that fosters collaboration and teamwork
- *How to Apply**
If you are a motivated and customer-focused individual who is passionate about delivering exceptional customer experiences, we encourage you to apply for this exciting opportunity. To get started, please click on the link below to submit your application.
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- *Equal Opportunity Employer**
careerzynith is an equal opportunity employer and welcomes applications from diverse candidates. We are committed to creating a workplace that is inclusive and respectful of all individuals, and we strive to provide a work environment that is free from discrimination and harassment.
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