Network Service Representative jobs in Miami, FL

SUMMARY: Provides patients and families with courteous customer service support over the phone regarding medical bills. Strives to deliver excellent patient experience to retain present customers and improve company reputation and culture. Works closely with medical billing/coding and collection team members to answer inquiries in response to guarantor statements.

DUTIES AND RESPONSIBILITIES:

• Provides account information to customers including but not limited to insurance information on file, account balances, review services rendered, etc.
• Verify patient insurance information.
• Processes payments and setup payment plans
• Assists customers in the reconciliation of their accounts.
• Provides timely resolution of customer complaints, concerns, and inquiries.
• Builds effective relationships and trust with customers by listening to their needs and educating them about Kidz Medical Services and their health insurance.
• Accurately completes settlements on a daily basis.
• Prepares reports and correspondence as needed.
• Performs other related duties as assigned by management.

QUALIFICATIONS:

• High school diploma or equivalent.
• 3 years related experience; healthcare accounts receivable experience strongly preferred.
• Excellent customer service skills.
• Excellent verbal and written communication skills.
• Strong understanding of guarantor accounts receivable in a healthcare setting as well as working knowledge of managed care plans, insurance denials, and appeals.
• Strong organizational skills; able to manage priorities and workflow.
• Ability to understand and follow written and verbal instructions.
• Ability to effectively communicate with people at all levels and from various backgrounds.
• Must be able to speak, read, write, and understand the primary language(s) used in the workplace.
• Bilingual skills required.
• Acute attention to detail.
• Versatility, flexibility, and a willingness to work within constantly changing priorities with enthusiasm.

COMPETENCIES:

• Customer Service-Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.
• Interpersonal Skills-Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things.
• Oral Communication-Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings.
• Written Communication-Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information.
• Teamwork-Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed.
• Professionalism-Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.
• Attendance/Punctuality-Is consistently at work and on time; Ensures work responsibilities are covered when absent; Arrives at meetings and appointments on time.
• Dependability-Follows instructions, responds to management direction; Takes responsibility for own actions; Keeps commitments; Commits to long hours of work when necessary to reach goals; Completes tasks on time or notifies appropriate person with an alternate plan.

Our team members enjoy a competitive compensation package. Benefits include:

• Medical, dental, vision, life, and disability insurance
• 401(k) and profit sharing
• Flexible schedule

ABOUT US: KIDZ Medical Services (KIDZ) is a private, physician-owned and university affiliated medical group specialized in providing pediatric, neonatal and obstetrical healthcare. KIDZ is proud and privileged to have served the South Florida community since 1988, in partnership with the leading health systems in our region. KIDZ is committed to providing high quality, cost-effective, and compassionate medical care using evidence-based tools, a proficient level of training and education, clinical research, and state-of-the-art medical technology. Our team provides services throughout the continuum of care, both in hospital and office-based settings across 15 pediatric subspecialties. Please visit our website at www.kidzmedical.com for more information on our services.