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[Remote] Customer Service Representative- Healthcare

Work from home Full-time role Hiring

Note: The job is a remote job and is open to candidates in USA. Guidehouse is a company that provides managed services in healthcare. They are seeking a Customer Service Representative to handle inbound and outbound calls, assist patients with their inquiries, and ensure effective resolution of issues related to patient accounts.

Responsibilities

  • Answer inbound customer service calls and make some outbound follow up calls in a professional, patient experience and customer service-oriented manner
  • Answer the calls timely without drops/abandons
  • Ascertain the reason for the call and assist the caller with their questions, concerns or problems with the focus on first call resolution
  • Facilitate resolution by referring the matter to the issue/content expert
  • Escalate the matter to a supervisor, request the appropriate information or take appropriate action so that the issue expert can effectively resolve the matter
  • Resubmit Corrected Claims and supporting documentation as need for the patient experience
  • Communicate with other organizational departments to ensure proper handling of patient accounts
  • Communicates issues to management timely and performs other duties as assigned by direct supervisors
  • Perform a variety of duties often changing from one task to another of a different nature without loss of efficiency or composure
  • Advanced computer skills, knowledge of medical terminology, PC applications, and math/bookkeeping skills

Skills

  • High school diploma or GED
  • 0-2 years of prior relevant experience
  • Advanced computer skills, knowledge of medical terminology, PC applications, and math/bookkeeping skills
  • 1 - 3 years related or general knowledge of payor-specific or medical specialty billing
  • Dialer experience
  • Bilingual (English/Spanish)
  • Live in 50 mile radius of Birmingham, AL

Benefits

  • Medical, Rx, Dental & Vision Insurance
  • Personal and Family Sick Time & Company Paid Holidays
  • Position may be eligible for a discretionary variable incentive bonus
  • Parental Leave
  • 401(k) Retirement Plan
  • Basic Life & Supplemental Life
  • Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
  • Short-Term & Long-Term Disability
  • Tuition Reimbursement, Personal Development & Learning Opportunities
  • Skills Development & Certifications
  • Employee Referral Program
  • Corporate Sponsored Events & Community Outreach
  • Emergency Back-Up Childcare Program

Company Overview

  • Guidehouse offers consulting services for public and commercial markets with expertise in management, technology, and risk consulting. It was founded in 2018, and is headquartered in Washington, District of Columbia, USA, with a workforce of 10001+ employees. Its website is https://guidehouse.com.
  • Company H1B Sponsorship

  • Guidehouse has a track record of offering H1B sponsorships, with 25 in 2025, 20 in 2024, 29 in 2023, 49 in 2022, 50 in 2021, 59 in 2020. Please note that this does not guarantee sponsorship for this specific role.
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