Remote Customer service Jobs • Medical Terminology

In this remote position, you will be responsible for providing exceptional customer service to our patients and their families. As a Telecommute Medical Customer Service Representative, you will help patients navigate their home health care journey and address any questions or concerns they may have. You will play a critical role in ensuring our patients have a positive experience with our company.

Accountable for making decisions supported by policy based on confidential financial information both from the facility and from patients to determine qualification for CICP (as applicable), Charity programs, or payment arrangements. Acts as a liaison between the patients, physicians, patient clinics, case management, centralized billing office, third party Medicaid eligibility vendor and community agencies. This position is 100% remote.

This position receives/responds to provider inquiries on claim issues, researching information by reviewing plan, eligibility, and authorizations to determine appropriate resolution. Recommends solutions by working with CSC or RCM to identify areas of opportunity, also completes special assignments and analyzes provider requests while assisting other departments and interacting directly with providers.

The Scheduling Outreach Specialist is responsible for conducting emergency department, wellness, or preventative service outreach calls to identified patients. This role will provide patient education about clinic appointment availability and identify and communicate if the patient has any care coordination or triaging needs from the supported practice.

The Revenue Specialist, Denials serves as the point of contact between major client contacts and the denial appeal process with the relevant payer. Responsible for the first denial audit and actions to fix outstanding claims. This position entails handling patient health information (PHI) while upholding strict privacy and security standards concerning confidential and proprietary data.