Customer Service Representative - Billing II

This is a Fully Remote Job

About Our Client:

This organization operates within the healthcare services industry, focusing on facilitating patient access to health care and supporting informed health decisions. It addresses challenges related to health care billing and patient inquiries by providing clear, compassionate guidance and resolving complex billing issues. The organization serves a significant volume of members daily, ensuring access to appropriate care through effective communication and support.

About the Opportunity:

The CUSTOMER SERVICE REPRESENTATIVE - BILLING II role is designed to provide members with detailed information and support regarding their health care billing. This position is responsible for managing a high volume of inbound calls to resolve escalated billing issues, improve customer understanding of health care plans, and enhance member satisfaction. The role contributes directly to the organization by ensuring clarity in billing communications and assisting members in navigating complex health care information.

Responsibilities:

• Answer a high volume of calls from patients or their representatives regarding billing inquiries
• Translate medical terminology into understandable information for members
• Research, troubleshoot, and resolve complex billing issues and customer complaints
• Navigate the billing system and other relevant applications efficiently
• Maintain a tracking log of all patient contacts
• Perform additional projects or tasks as required by business needs
• Comply with all HIPAA and regulatory requirements at all times

Requirements:

• Bilingual in English and Spanish
• Minimum age of 18 years
• High school diploma or GED equivalent
• At least 1 year of call center experience handling high-volume inbound calls
• At least 1 year of experience in a medical office or healthcare setting resolving patient concerns
• Knowledge of healthcare claims billing, finance, and eligibility processes
• Ability to simplify complex healthcare information for members
• Proficient in computer use and Windows applications
• Availability to work a full-time schedule with shifts between 8:30 AM and 8:00 PM ET, Monday to Friday
• Commitment to full-time attendance during training with no absences
• Strong independent work ethic and accountability
• Excellent listening, rapport-building, and compassionate communication skills
• Skilled in conflict management and resolving stressful situations

Pay Range and Compensation Package:

• Starting pay is $17.20+ per hour
• Salary offers depend on skills, experience, education, and certifications
• Eligibility for annual performance bonus compensation

Benefits & Perks:

• Medical, supplemental health, dental, and vision insurance for full-time employees
• Well-being and mental health programs
• Vacation, health/flex time, and paid holidays including an additional personal day
• Financial coaching and 401(k) plan with company match
• Employee stock purchase plan
• Life and disability insurance with buy-up options
• Flexible spending accounts
• Education assistance programs
• Career advancement opportunities

Equal Opportunity Statement: Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin.

Note:

TalentHop is a recruitment partner of this role. Please note that all employment decisions, including candidate assessment, interviews, hiring, compensation, and employment terms, are made exclusively by the hiring employer.