Job Description
At arenaflex, we're dedicated to delivering exceptional patient experiences and innovative solutions that transform the healthcare landscape. As a Customer Resolution Specialist, you'll play a vital role in driving success by providing top-notch customer care, resolving complex billing and payment issues, and ensuring seamless interactions with patients and families. If you're passionate about delivering exceptional service, navigating complex healthcare systems, and making a meaningful impact, we invite you to join our dynamic team at arenaflex. **About arenaflex** arenaflex is a leading healthcare organization committed to providing world-class patient care, innovative treatments, and exceptional experiences. With a legacy of hope and innovation, we're dedicated to empowering patients and families to focus on health, healing, and recovery. Our commitment to diversity, equity, and inclusion drives our mission to deliver value and an exceptional experience for all patients and families. **Responsibilities** As a Customer Resolution Specialist at arenaflex, you'll be responsible for: * Performing customer care activities in accordance with applicable Federal, State, and local standards, guidelines, and regulations * Maintaining a thorough understanding of hospital and professional billing procedures and payment practices of state, federal, and all third-party payers * Resolving HB and PB customer service inquiries, including: + Benefit and eligibility information + Billing and payment issues + Authorization for treatment + Explanation of benefits (EOB) * Performing 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 * Performing presumptive charity determinations as applicable * Performing bad debt request transfers as applicable * Ensuring daily productivity standards of assigned accounts are met and posting of all action codes related to patient's accounts * Maintaining a thorough, practical understanding of departmental established policies and procedures **Qualifications** To succeed in this role, you'll need: * 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 **Skills and Competencies** To excel in this role, you'll need to possess: * Strong communication and interpersonal skills * Ability to navigate complex healthcare systems and regulations * Analytical and problem-solving skills to resolve complex billing and payment issues * Organizational and time management skills to meet productivity standards * Ability to work effectively in a fast-paced environment * Strong attention to detail and follow-through * Ability to maintain confidentiality and handle sensitive information **Career Growth Opportunities and Learning Benefits** At arenaflex, we're committed to investing in our employees' growth and development. As a Customer Resolution Specialist, you'll have opportunities to: * Develop your skills and expertise in customer service, billing, and collection * Collaborate with cross-functional teams to drive process improvements and innovation * Participate in training and development programs to enhance your knowledge and skills * Contribute to the development of policies and procedures that shape the future of healthcare **Work Environment and Company Culture** arenaflex is a dynamic and inclusive organization that values diversity, equity, and inclusion. Our work environment is: * Collaborative and supportive * Fast-paced and challenging * Committed to delivering exceptional patient experiences and innovative solutions * Focused on empowering patients and families to focus on health, healing, and recovery **Compensation, Perks, and Benefits** arenaflex offers a competitive salary and benefits package, including: * Base pay scale: Generally starting at $38.33 - $43.17 per hour * Comprehensive health insurance * Retirement savings plan * Paid time off and holidays * Professional development opportunities * Recognition and rewards for outstanding performance **How to Apply** If you're passionate about delivering exceptional customer service, navigating complex healthcare systems, and making a meaningful impact, we invite you to apply for this exciting opportunity. Please submit your application, including your resume and cover letter, to [insert contact information]. We look forward to hearing from you! **Equal Opportunity Employer** arenaflex is an equal opportunity employer and welcomes applications from diverse candidates. We're committed to creating an inclusive and respectful work environment that values diversity, equity, and inclusion. Apply for this job