Description
RevCycle is growing, and we’re excited to welcome new team members! With over 30 years in business, we focus on developing our employees and helping them reach their full potential. Work from home or from our Marshfield, WI office.
Our next training class is expected to start in early 2027. Apply now to be among the first candidates considered!
EPIC experience is preferred but not required.
Position Summary:
Delivers exceptional and consistent customer experiences by demonstrating excellence in understanding and resolving requests with patience, empathy, compassion, and sincerity. Handles customer inquiries through inbound and outbound calls as well as written communication.
This position exists to effectively manage inquiries and concerns related to billing and insurance with the goal of offering payment options and facilitating the processing of payments. Customer Service Representatives will work in a company office or home office environment. They will operate with minimal management guidance to exceed Key Performance Indicators (number of calls handled/hr., successful payment resolution, and call quality). This role is expected to follow company and client policies, procedures, and applicable laws.
Essential Duties and Responsibilities:
Take calls from patients, law offices, insurance companies, and other outside facilities to resolve complex billing and insurance issues
Make outbound calls and take inbound calls from patients to resolve balances on accounts with a status that may be aging but has not been sent for collections
Answers complex billing and insurance questions (i.e. deductibles, co-insurance, co-pays, complex denials and charge disputes, claim resubmissions, eligibility issues, and coding disputes)
Reviews financial information and recommends payment options and/or assistance programs in accordance with client guidelines
Manages both common and challenging objections and concerns from consumers
Discusses and helps consumer think through payment resources and makes necessary referrals to the client
Uses required scripts/verbatims, skillfully navigating guidelines to maximize potential recovery on each call
Maintains working understanding of account requirements, leveraging related documentation and resources as needed
Independently and efficiently performs account documentation including notes and codes, making few errors, requiring minimal assistance
Skillfully works within both internal and client systems
Adheres to company Core Values and Strategic Anchors
May learn and perform other duties and responsibilities as assigned based on business needs
Requirements
Required Knowledge, Skills and Abilities:
Prior work experience in a call center and healthcare customer service setting is preferred
Familiarity with Artiva and Cerner Soarian application is preferred. EPIC is a plus.
Working knowledge of medical billing and coding is preferred
Prior work experience in a medical office and/or general understanding of health insurance is preferred
Able to communicate clearly, both verbally and in writing, and utilize proper grammar and telephone etiquette and provided electronic tools
Able to navigate multiple computer applications and databases
Moderate to advanced computer keyboard typing and navigation skill
Able to communicate on the phone and navigate multiple computer systems simultaneously
Able to overcome patient objections and obstacles to negotiate payment successfully
Reliable and responsible. Arrives on time and uses time productively and efficiently
Manages self effectively in a work from home environment, remaining focused on work and delivering required outcomes
Possesses and demonstrates professional judgement and operates with client business acumen.
Understands sensitive personal information (SPI) and sensitive consumer information (i.e., Protected Health Information (PHI)) and maintains confidentiality of this information
Able to use tools provided to compute basic math calculations…