VIANT PAYMENT SYSTEMS, INC. Customer Service Specialist in SALT LAKE CITY, Utah
JOB SUMMARY: This position is responsible for research, resolution and communication of patient, client, provider and internal customer inquiries and any follow-up required thereafter. JOB ROLES AND RESPONSIBILITIES: 1. Investigate, analyze, research, and resolve claim inquiries as a result of issues related to discounts, payments and balance billing. 2. Provide resolution and closure to the applicable recipients. Create and execute business correspondence to clients or providers using multiple media formats. 3. Defend and uphold discounts that providers have previously accepted to prevent balance billing or reversals, including re-education. 4. Ensure investigative notes related to any contact with providers and clients are documented and accessible throughout the applicable systems. 5. Adhere to client turn around requirements as it relates to response time and required actions. 6. Ensure the maintenance and compliance with department standards for production, accuracy, and turnaround time. 7. Perform system claim adjustments based on outcomes and communicate with client regarding confirmation. 8. Serve as liaison between Claims Specialists, Client Service Representatives, and client contacts as needed. 9. May include call center responsibilities, including adhering to call center standards. 10. Collaborate, coordinate, and communicate across disciplines and departments. 11. Ensure compliance with HIPAA regulations and requirements. 12. Demonstrate Company's Core Competencies and values held within. 13. The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and-or assigned as necessary. JOB SCOPE: The incumbent works under general supervision to complete job responsibilities in applying a fundamental knowledge of principles, practices and procedures related to the servicing of inquiries. Work is generally complex and requires some independent judgment within established guidelines. More complex issues are referred to higher levels. This job has regular contact with internal and external customers. * Minimum completion of high school i.e., diploma or GED * Minimum 2 years experience in the healthcare industry or customer service, preferably with out-of-network claims * Required licensures, professional certifications, and-or Board certifications as applicable * Bilingual English-Spanish may be required of some positions * Knowledge of health care claims and health insurance industry, * Knowledge of insurance company and medical service provider vocabulary desirable * Knowledge of claims processing and appeals procedures * Communication written, verbal and listening problem solving, interpersonal organization, time management and decision-making skills. * Ability to create and compose business correspondence * Ability to multitask while setting priorities * Ability to handle high pressure situations and variance in workload volume * Ability to work independently as well as part of a team * Ability to use software, hardware and peripherals related to job responsibilities including MS Office As an Equal Opportunity Employer, the Company will provide equal consideration to all employees and job candidates without regard to sex, age, race, marital status, sexual orientation, religion, national origin, citizenship status, physical or mental disability, political affiliation, service in the Armed Forces of the United States, or any other characteristic protected by federal, state, or local law. Equal Opportunity Employer Minorities-Women-Protected Veterans-Disabled Employer's Job# 5000247755206 Please visit job URL for more information about this opening and to view EOE statement.