Experienced Customer Resolution Specialist (Remote) – Healthcare Revenue Cycle

At arenaflex, we're dedicated to delivering exceptional patient experiences and innovative healthcare solutions. As a Customer Resolution Specialist, you'll play a vital role in our legacy of hope and innovation, working closely with patients, families, and healthcare professionals to resolve billing and payment issues. If you're passionate about delivering outstanding customer service and have a strong understanding of healthcare revenue cycle principles, we encourage you to explore this exciting opportunity.

About arenaflex

arenaflex is a leading healthcare organization committed to providing patients with the best possible care. With a rich history of innovation and a strong focus on patient-centered interactions, we strive to deliver exceptional experiences for our patients and families. Our commitment to diversity, equity, and inclusion is reflected in our C-I-CARE standards, which guide our interactions with patients, families, and colleagues.

Job Summary

As a Customer Resolution Specialist, you'll be responsible for performing customer care activities in accordance with applicable Federal, State, and local standards, guidelines, and regulations. Your primary focus will be on resolving billing and payment issues, ensuring timely and efficient collection of patient accounts, and maintaining a thorough understanding of hospital and professional billing procedures.

Key Responsibilities

* Performs or requests adjustments and contractual write-offs as applicable

• Maintains a thorough understanding of hospital and professional billing procedures and payment practices of state, federal, and all third-party payers
• Resolves HB and PB customer service inquiries, including:

+ Benefit and eligibility information + Billing and payment issues + Authorization for treatment + Explanation of benefits (EOB)

• Performs timely and efficient collection of all HB and PB self-pay balances by calling patients/guarantors and others to collect or arrange budget plan options and resolve issues
• Performs presumptive charity determinations as applicable
• Performs bad debt request transfers as applicable
• Ensures daily productivity standards of assigned accounts are met and posting of all action codes related to patient's accounts
• Maintains a thorough, practical understanding of departmental established policies and procedures

Education and Experience

* High School diploma or GED equivalent

• Three (3) years of progressively responsible and directly related work experience

Required Knowledge, Skills, and Abilities

* Government/non-government payer requirements, reimbursement rules, laws, and regulations that govern billing/collection activities

• Medical terminology, CPT-4, ICD-9, HCPCS, modifier coding, and how these items drive reimbursement
• Principles and practices of customer service and telephone courtesy
• Organizational, planning, analytical, and problem-solving skills
• Attention to detail and follow-through
• Demonstrated verbal and written communication skills
• Microsoft Office applications (Word and Excel)
• Epic Professional Billing preferred

Licenses and Certifications

* HFMA - Certified Rev Cycle Rep (CRCR) preferred

arenaflex Commitment to Providing an Exceptional Patient & Family Experience

Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all patients, families, and towards each other. C-I-CARE is the foundation of Stanford's patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing, and recovery.

Equal Opportunity Employer

arenaflex strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, arenaflex does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.

Base Pay Scale

Generally starting at $38.33 - $43.17 per hour. The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty, and training.

Why Join arenaflex?

* Be part of a legacy of hope and innovation

• Work with a talented team of healthcare professionals dedicated to delivering exceptional patient experiences
• Enjoy a dynamic and supportive work environment that values diversity, equity, and inclusion
• Take advantage of opportunities for career growth and professional development
• Enjoy a comprehensive benefits package, including medical, dental, and vision coverage, as well as a 401(k) plan

How to Apply

If you're passionate about delivering outstanding customer service and have a strong understanding of healthcare revenue cycle principles, we encourage you to apply for this exciting opportunity. Please visit our website to learn more about our current job openings and to submit your application. Apply Job! Apply for this job