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Remote Medical Customer Service Representative – Patient Billing & Claims Support Specialist (Full‑Time)

Remote · USA Full-time New today

About careerzynith – Pioneering Patient‑Centric Financial Solutions careerzynith is a leading provider of innovative healthcare revenue cycle services, dedicated to simplifying the financial journey for patients across the United States. Our mission is to empower individuals to understand and manage their medical expenses with confidence, while supporting healthcare providers in achieving sustainable financial health. As a remote‑first organization, careerzynith blends cutting‑edge technology with a compassionate, people‑first culture, creating an environment where every team member can thrive, grow, and make a meaningful impact on the lives of patients. Why This Role Matters In the complex world of medical billing, patients often face confusion, anxiety, and financial stress. As a Medical Customer Service Representative at careerzynith, you will be the trusted voice that guides patients through their self‑pay balances, payment plans, and insurance questions. Your expertise will directly influence patient satisfaction, improve collection rates, and uphold the highest standards of compliance and empathy. Key Responsibilities – What You’ll Do Every Day

  • Engage with patients via inbound and outbound calls to discuss outstanding balances, clarify financial responsibilities, and answer billing‑related questions.
  • Explain complex medical billing concepts in clear, non‑threatening language, ensuring patients feel respected and informed.
  • Develop and negotiate personalized payment plans that align with each patient’s financial situation, using careerzynith’s approved scripts and guidelines.
  • Accurately document every interaction in careerzynith’s electronic systems, maintaining meticulous records for compliance and future reference.
  • Identify eligibility for financial assistance programs, charitable funds, or bank loans, and guide patients through the application process when appropriate.
  • Collaborate with the Client Services team to relay critical information, resolve escalations, and support seamless case management.
  • Adhere to productivity metrics, call quality standards, and compliance requirements (HIPAA, Medicare Fraud, Waste & Abuse, FDCPA, etc.) while maintaining a high level of professionalism.
  • Continuously update knowledge of medical terminology, insurance policies, and regulatory changes to provide accurate, up‑to‑date guidance.

Essential Qualifications – What We Require Education: High school diploma or GED equivalent. Integrity: Demonstrated high ethical standards and willingness to undergo a background check. Communication Skills: Exceptional verbal and written abilities, with a talent for active listening and clear articulation. Technical Proficiency: Comfortable navigating PC‑based applications, including Microsoft Outlook, Word, and Excel. Customer‑Focused Mindset: Proven ability to deliver outstanding service in fast‑paced, call‑center environments. Preferred Qualifications – What Sets You Apart

  • Experience in medical billing, claims processing, or related healthcare finance roles.
  • Familiarity with medical terminology, HIPAA regulations, Medicaid, Medicare, and FDCPA guidelines.
  • Demonstrated success in meeting or exceeding call‑center productivity and quality metrics.
  • Strong organizational, problem‑solving, and time‑management capabilities.
  • Positive attitude, teamwork orientation, and resilience when handling escalated situations.
  • Attention to detail and data‑management skills that ensure accurate record‑keeping and compliance.

Core Skills & Competencies Empathy & Patience: Ability to connect with patients who may be stressed or confused about their bills. Analytical Thinking: Quickly assess account details, identify payment options, and recommend appropriate solutions. Negotiation: Craft mutually beneficial payment plans while protecting the financial interests of careerzynith’s clients. Adaptability: Thrive in a remote work setting, managing distractions and maintaining focus on performance goals. Compliance Awareness: Strict adherence to federal and state regulations governing medical collections. Technology Savvy: Efficient use of CRM platforms, electronic health record (EHR) interfaces, and internal documentation tools. Career Growth & Learning Opportunities careerzynith invests heavily in the professional development of its team members. As a Remote Medical Customer Service Representative, you will have access to:

  • A com

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