The representative will research and obtain missing billing information while maintaining accurate documentation for client and patient accounts. They will also handle outbound calls and written correspondence to resolve billing issues and educate customers on insurance requirements.
Requirements overview
Candidates must have at least one year of experience in call center or revenue cycle operations, specifically with health insurance eligibility checks. A high school diploma or GED is required, along with proficiency in Windows PC applications and medical terminology.
Quest Diagnostics (NYSE: DGX) empowers people to take action to improve health outcomes. Derived from the world's largest database of clinical lab results, our diagnostic insights reveal new avenues to identify and treat disease, inspire healthy behaviors and improve health care management. Quest annually serves one in three adult Americans and half the physicians and hospitals in the United States, and our 47,000 employees understand that, in the right hands and with the right context, our diagnostic insights can inspire actions that transform lives.
The company offers physicians the broadest test menu (3,000+ tests), is a pioneer in developing innovative new tests, is the leader in cancer diagnostics, provides anatomic pathology (AP) services, & interpretive consultation through its medical & scientific staff of about 900 M.D.s & Ph.D.s.
Quest Diagnostics offers the most extensive clinical testing network in the U.S., with laboratories in most major metropolitan areas, & in Mexico, the UK & India. The company also operates four esoteric laboratories, 40 outpatient AP laboratories, & 160 smaller, rapid-response laboratories.
Patients may have specimens collected in any of the company’s approximately 2,250 patient service centers. On a typical workday, testing is performed for about 550,000 patients.
The company is the leading provider of pre-employment drugs-of-abuse screening for employers & risk assessment services for the life insurance industry. It is the world’s 2nd largest provider of clinical trials testing for new pharmaceuticals.
More information is available at www.questdiagnostics.com. Image content features models and is intended for illustrative purposes only. May include AI-generated and/or AI-modified imagery.
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Asistencia de Idiomas / Aviso de no Discriminación
語言協助 / 不歧視通知
www.QuestDiagnostics.com/home/nondiscrimination
Customer Service & SupportHealthcareFinance & AccountingAdministrative
Description
Customer Service Representative - Billing II - Monday to Friday, 8:30AM - 5:00PM
Pacific
As a Customer Service, Billing Representative, you will work by phone or
correspondence to gather missing information to ensure proper billing to
clients, patients, or third - party insurances. This is an excellent opportunity
for someone with previous customer service experience in a professional office
setting who is interested in moving into a new area while learning additional
skills. You will leverage your skills and have the ability to:
• Demonstrate empathy and compassion to customers.
• Triage and handle escalated situations.
• Adapt to changes in a fast-paced environment.
• Develop and maintain client relationships
Pay range: $20 - $24/ hour
Salary offers are based on a wide range of factors including relevant skills,
training, experience, education, and, where applicable, certifications obtained.
Market and organizational factors are also considered. Successful candidates may
be eligible to receive annual performance bonus compensation.
Benefits Information:
We are proud to offer best-in-class benefits and programs to support employees
and their families in living healthy, happy lives. Our pay and benefit plans
have been designed to promote employee health in all respects – physical,
financial, and developmental. Depending on whether it is a part-time or
full-time position, some of the benefits offered may include:
• Day 1 Medical, supplemental health, dental & vision for FT employees who
work 30+ hours
• Best-in-class well-being programs
• Annual, no-cost health assessment program Blueprint for Wellness®
• healthyMINDS mental health program
• Vacation and Health/Flex Time
• 6 Holidays plus 1 "MyDay" off
• FinFit financial coaching and services
• 401(k) pre-tax and/or Roth IRA with company match up to 5% after 12 months
of service
• Employee stock purchase plan
• Life and disability insurance, plus buy-up option
• Flexible Spending Accounts
• Matching gifts program
• Education assistance through MyQuest for Education
• Career advancement opportunities
• and so much more!
Demonstrates skill and passion to deliver exceptional and consistent customer
experience of a moderate complexity, while utilizing multiple customer
communication channels, which may include voice, mail, email, chat, AI related
inquiries, etc.
RESPONSIBILITIES
* Researches, obtains, and enters missing information / demographics for
completion of accessions.
* Demonstrates competency in eligibility, billing and receivable systems and
associated applications.
* Educates external customers on how to provide complete billing information
and avoid additional contacts for information.
* Informs customers of billing problem / issue findings and resolution as
appropriate.
* Makes outbound calls to clients, patients, carriers and / or any internal or
external source as needed to obtain missing or additional information.
* Responds to account inquires through written correspondences.
* Handles sensitive client and patient interactions.
* Maintains timely, accurate documentation for all appropriate transactions.
* Generates and / or distributes reports and documentation to internal or
external client to obtain missing information.
* Reports problems, errors, and denial trends to management including PHI
breaches.
* Meets the performance goals established for the position in the areas of:
efficiency, accuracy, quality, patient and client satisfaction and
attendance.
QUALIFICATIONS
Required Qualifications:
* High school diploma / GED
* 1+ year of experience running health insurance eligibility checks
* 1+ year of experience conducting health insurance eligibility checks using
electronic verification systems & payer portals
* 1+ year of interpreting results to determine network status and coverage
eligibility, including identifying discrepancies or issues in eligibility
results
* Familiarity with computer and Windows PC applications, which includes the
ability to navigate and learn new and complex computer system applications
and basic IT troubleshooting.
* Must have experience working with multiple applications at a time while
assisting customers
* Must have experience with production/goal expectations
* Reside within Pacific Standard Time, Mountain Time, or Central Standard Time
* Ability to work Monday – Friday, 08:30AM – 05:00PM PST
* Must be 18 years or older
* 1+ years of call center or revenue cycle experience
* Medical terminology acumen and experience
* Billing experience and understands multiple billing requirements across
various payers and states
* Knowledge of billing / finance and eligibility processes, practices and
concepts
* Conducts data entry for completion of accessions using computer and Windows
PC applications
* Proficient in translating health care - related jargon and complex processes
into simple, step - by - step instructions customers can understand and act
upon
* Ability to multi - task and to understand multiple products and multiple
levels of benefits within each product
* Previous work experience in a fast - paced environment requiring multi -
tasking skills
* Ability to resolve calls, avoiding escalated complaints
* Ability to exhibit empathy and be courteous to callers
* Ability to triage and handle escalated situations
* Ability to work in a fast - paced environment
* Ability to adapt to changes
* Ability to develop and maintain client relationships
* Ability to work independently and as part of a team
Preferred Qualifications:
* 1+ years of call center or revenue cycle experience
* Medical terminology acumen and experience
* Billing experience and understands multiple billing requirements across
various payers and states
* Knowledge of billing / finance and eligibility processes, practices and
concepts
* Conducts data entry for completion of accessions using computer and Windows
PC applications
* Proficient in translating health care - related jargon and complex processes
into simple, step - by - step instructions customers can understand and act
upon
Soft Skills:
* Ability to multi - task and to understand multiple products and multiple
levels of benefits within each product
* Previous work experience in a fast - paced environment requiring multi -
tasking skills
* Ability to resolve calls, avoiding escalated complaints
* Ability to exhibit empathy and be courteous to callers
* Ability to triage and handle escalated situations
* Ability to work in a fast - paced environment
* Ability to adapt to changes
* Ability to develop and maintain client relationships
* Ability to work independently and as part of a team
Quest Diagnostics honors our service members and encourages veterans to apply.
While we appreciate and value our staffing partners, we do not accept
unsolicited resumes from agencies. Quest will not be responsible for paying
agency fees for any individual as to whom an agency has sent an unsolicited
resume.
Equal Opportunity Employer: Race/Color/Sex/Sexual Orientation/Gender
Identity/Religion/National Origin/Disability/Vets or any other legally protected
status.