Patient Claims Specialist - Bilingual

Patient Claims Specialist - Bilingual Only

We are united in our mission to make a positive impact on healthcare. Join Us!

• South Florida Business Journal, Best Places to Work 2024
• Inc. 5000 Fastest-Growing Private Companies in America 2024
• 2024 Black Book Awards, ranked #1 EHR in 11 Specialties
• 2024 Spring Digital Health Awards, “Web-based Digital Health” category for EMA Health Records (Gold)
• 2024 Stevie American Business Award (Silver), New Product and Service:
  Health Technology Solution (Klara)

Who we are:

We Are Modernizing Medicine (WAMM). We’re a team of bright, passionate, and positive problem-solvers on a mission to place doctors and patients at the center of care through an intelligent, specialty-specific cloud platform. Our vision is a world where the software we build increases medical practice success and improves patient outcomes. Founded in 2010, we have grown to over 3400 team members serving eleven specialties.

Mod Med’s global headquarters is in Boca Raton, FL, with a growing office in Hyderabad, India, and a robust remote workforce across the US, Chile, and Germany.

Mod Med is hiring a driven Patient Claim Specialist who will play a pivotal role in shaping a positive patient experience within our Revenue Cycle Management team. This role supports patients receiving care from Mod Med BOOST service providers and doctors, ensuring their account needs are met excellently.

Your Role:

• Serve as primary contact for inbound and outbound patient calls regarding patient balance inquiries, claims processing, insurance updates, and payment collections
• Initiate outbound calls to patients of RCM clients to understand and address account/payment issues, such as demographic and insurance updates
• Input and update patient account information and document calls into the Practice Management system
• Special Projects:
  Other duties as required to support and enhance our customer/patient-facing activities

Skills & Requirements:

• High School Diploma or GED required
• Availability to work 9:00 am - 6:00 pm PST or 11:30 am - 8:30 pm EST
• Minimum of 1-2 years of previous healthcare administration or related experience required
• Basic understanding of medical billing claims submission process and working with insurance carriers required (e.g., Medicare, private HMOs, PPOs)
• Manage/field 60+ inbound calls per day
• Bilingual required (Spanish & English)
• Proficient knowledge of business software applications such as Excel, Word, and Power Point
• Strong communication and interpersonal skills with an emphasis on the ability to work effectively over the telephone
• Ability and openness to learn new things
• Ability to work effectively within a team in order to create a positive environment
• Ability to remain calm in a demanding call center environment
• Ability to effectively manage time and competing priorities

Mod Med Benefits Highlight: At Mod Med, we offer a competitive benefits package. Eligible Modernizers can enroll in a wide range of benefits.

India

• Meals & Snacks:
  Office lunches & dinners on select days and healthy snacks
• Insurance Coverage:
  Comprehensive health, accidental, and life insurance plans
• Allowances:
  
  Annual wellness allowance
• Earned, casual, and sick leaves
• Bereavement leave and extended medical leave options
• Paid parental leaves (maternity, paternity, adoption, surrogacy, abortion)
• Celebration leave and company-paid holidays

United States

• 401(k) with company matching up to 6% of compensation
• Generous Paid Time Off and Paid Parental Leave
• Company-paid Life and Disability benefits, FSA, and EAP
• Professional development opportunities, including tuition reimbursement
• Global presence, hybrid/remote opportunities, dog-friendly HQ (US)
• Weekly catered meals and wellness spaces at BRIC headquarters

EEO/Disclosures Mod Med is an equal opportunity employer. We encourage applicants of all backgrounds to apply. This posting contains standard disclosures and warnings about phishing scams. If you receive unusual recruitment communication, verify with a Mod Med email address and report suspicious activity to the appropriate authorities.

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Note:

This description is a refined representation of the original content and may exclude non-essential boilerplate material.