Navigant Call Center Representative- Navigant Cymetrix- Birmingham, AL in Lewisville, Texas

Navigant Consulting, Inc. (NYSE: NCI) is a specialized, global professional services firm that helps clients take control of their future. Navigant’s professionals apply deep industry knowledge, substantive technical expertise, and an enterprising approach to help clients build, manage and/or protect their business interests. With a focus on markets and clients facing transformational change and significant regulatory or legal pressures, the Firm primarily serves clients in the healthcare, energy and financial services industries. Across a range of advisory, consulting, outsourcing, and technology/analytics services, Navigant’s practitioners bring sharp insight that pinpoints opportunities and delivers powerful results. More information about Navigant can be found at navigant.com.

Navigant Cymetrix unites the strengths of four category-leading companies to address the complexities of today’s healthcare system. We design, develop and implement integrated, patient-centered solutions for sustained improvements in performance and profitability, working collaboratively across a spectrum of customers that encompasses hospitals, health systems, physician practice groups and payers.

Under general supervision and according to established policies and procedures,the Call Center Representative performs a variety of duties related to the customer service and self pay collection functions of the Management Services Organization (MSO). Such duties may include, but are not limited to, the following: 1) receives and responds to patient inquiries concerning billing issues in a professional, courteous and expedient manner, 2) answers inbound calls, 3) resubmits corrected claims and supporting documentation as needed, and 4) communicates with third party payors to obtain payment. Communicates issues to management timely and performs other duties as assigned by direct supervisors.

Must be self-directed / self-motivated; must have good communication and interpersonal skills. Must be able to: (1) perform a variety of duties often changing from one task to another of a different nature without loss of efficiency or composure; (2) accept responsibility for one’s own work; (3) work independently; (4) recognize the rights and responsibilities of patient confidentiality; (5) convey empathy and compassion to those experiencing pain, physical or emotional distress and/or grief; (6) relate to others in a manner which creates a sense of teamwork and cooperation; (7) communicate effectively with people from every socioeconomic, cultural and educational background; (8) exhibit flexibility and cope effectively in an ever-changing, fast-paced healthcare environment; (9) perform effectively when confronted with emergency, critical, unusual or dangerous situations; (10) demonstrate the quality work ethic of doing the right thing the right way; and (11) maintain a customer focus and strive to satisfy the customer's perceived needs.

  • Receives and responds to customer telephone inquires.

  • All Inbound and Outbound telephone inquiries answered or made in a timely manner

  • Collect full payment or set up Budget Plan arrangements.

  • Resolve inquiries within the guidelines

  • Demonstrates courteous and professional behavior when dealing with customers.

  • Performs call center follow-up accurately.

  • Performs correct actions on invoices/accounts

  1. Review notes in CDA

  2. Review charge tickets

  3. Review explanation of benefits

  4. Post adjustments

  5. Enter insurance information

  6. File claims

  7. Requests refunds

  8. Process payments over the phone via- virtual banking

  • Clearly and thoroughly documents actions taken to resolve issues.

  • Assists with special projects or requests.

Required: High school diploma or equivalent. Good written and verbal communication skills. Basic computer skills.

Preferred: One to three years of related experience and general knowledge of payor-specific or medical specialty billing and knowledge of CPT and ICD-9/10 coding. Customer Service and Dialer experience.

  • Strong conceptual, as well as quantitative and qualitative analytical skills

  • Work as a member of a team as well as be a self-motivator with ability to work independently

  • Constantly operates a computer and other office equipment to coordinate work

  • Regularly uses close visual acuity and operates computer equipment to prepare and analyze and transmit data

  • Generally works in an office environment

The company offers competitive compensation packages including an incentive compensation plan, comprehensive medical/dental/life insurance, 401(k) and employee stock purchase plans.

Navigant does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Navigant and Navigant will not be obligated to pay a placement fee.

Navigant is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

Navigant will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.