Customer Service Specialist

2 days ago

Quezon City, National Capital Region, Philippines Risewave Consulting Inc. Full time
Job Description:

Risewave Consulting Inc. is seeking a highly skilled Customer Service Representative- Spanish Bilingual to join our team. As a key member of our Call Center Department, you will be responsible for providing exceptional customer service to patients and clients.

Duties and Responsibilities:

  • Respond to patient inquiries, requests, and disputes over the phone by clarifying, researching, locating, and providing information.
  • Process patient credit card payments over the phone to resolve outstanding self-pay balances.
  • Possess basic working knowledge of healthcare claims processing including ICD-9/10, CPT, and HCPC codes, as well as 1500 forms.
  • Possess working knowledge of the fundamental concepts in healthcare reimbursement methodologies and revenue cycle.
  • Uses the GE and Epic workflow systems and other tools available to them.
  • Ability to analyze, identify and resolve issues on patient accounts.
  • Act cooperatively and courteously with patients, visitors, co-workers, management and clients.
  • Adheres to the policies and procedures established for the client/team.
  • Meets and maintains daily productivity standards established in departmental policies.
  • Meets and maintains quality standards established in departmental policies.
  • Maintains confidentiality at all times; adhere to HIPAA and PHI Guidelines.
  • Ability to maintain composure when handling particularly difficult calls with customers.
  • Perform all other tasks related to Call Center Department areas of responsibilities.
  • Performs other related duties and special projects as required.

Job Qualifications:

  • Healthcare experience preferred.
  • Strong verbal communication skills in both English and Spanish, required.
  • Ability to work well individually and in a team environment.
  • Proficiency with MS Office.
  • Strong organizational skills.
  • Ability to maintain composure when handling particularly difficult calls with customers.
  • Must be willing work US hours.
  • Must be amenable to work on site - Quezon City, Philippines.

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