Customer Service Rep

CommonSpirit Medical Group (Mountain Management Services) is a leading provider of comprehensive office management services and affiliated physicians in Southeast Tennessee and North Georgia. Our award-winning, faith-based organization is dedicated to supporting the delivery of exceptional healthcare in the region. We are proud to be consistently recognized for excellence by organizations like U.S. News & World Report, PINC AI™, CMS, Healthgrades®, Leapfrog, and as one of the Best Places to Work in Tennessee. We are honored to be your trusted ally in health, dedicated to serving our community with compassion and excellence.

As a Customer Service Representative, you will play a crucial role in ensuring customer satisfaction by processing complex orders.

Every day you will expertly prepare correspondence and coordinate the completion of various customer service needs, consistently working under minimal supervision.

To be successful in this role, you will demonstrate exceptional communication skills, a proactive approach to problem-solving, and the ability to independently manage and fulfill customer requirements to consistently ensure satisfaction.

• Receives and responds in a timely and professional manner to all billing-related questions posed by clinic staff; serves as liaison with various Revenue Cycle teams and other departments to respond to, or initiate response to, clinic questions.
• Fields incoming call and email volumes from Clinics in organized manner, addressing individual clinic concerns with attentiveness.
• Explains various billing issues affecting reimbursement, including billing edits, reimbursement methodology, denial trends, and payer regulations or requirements to clinic representatives.
• Provides feedback and training to clinic staff based on examples and/or trends identified in the Revenue Cycle, as necessary.
• Applies knowledge of CMS and other insurance billing guidelines and regulations, payer contracts and reimbursement as well as experience with insurance review to gather additional information, as necessary.
• Identifies and researches unusual, complex or escalated issues as assigned; applies problem-solving and critical thinking skills as necessary to resolve issues within the scope of position authority.

Required

• High School Graduate High School Diploma, upon hire or
• High School GED, upon hire

Preferred

• Two years of revenue cycle or related work experience that demonstrates attainment of the requisite job knowledge and abilities. and
• Graduation from a post-high school program in medical billing or other business-related field.