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Sonora Quest

Customer Services Representative

Sonora Quest, Phoenix, Arizona, United States, 85003

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Primary City/State:

Phoenix, Arizona

Department:

Revenue Cycle

Shift:

Day (Mon-Fri 7am-6pm)

Join our team as a Customer Service Representative, supporting patients and providers by resolving billing issues, handling inquiries, and ensuring client satisfaction. 45-55 inbound calls per day, onsite. High‑volume experience, de‑escalation skills, bilingual (Spanish/English) and medical/healthcare/insurance experience are big pluses.

POSITION SUMMARY Provides Customer Service functions dealing directly with patient inquiries and complaints as reported via phone or customer service calls and correspondence. Oversees collection of timely documentation from network providers and patients to ensure adherence to quality standards and timely filing requirements.

CORE FUNCTIONS

Receives incoming phone calls from patients and providers regarding payment issues, perceived inappropriate patient service and updates on insurance data.

Determines nature of call and documents via claim system an appropriate reason code.

Effectively researches, resolves and responds to billing issues accurately and expeditiously.

Supports Reimbursement area in posting zero payment Explanation of Payments from insurance companies.

Monitors patient accounts providing account reconciliation to facilitate prompt payment and prevent inappropriate transfers to outside collection agency.

Cross‑functional assistance with EOB Adjustments, Bad Debt Recovery Trailer Entry and Cash Payment mailing.

KNOWLEDGE, SKILLS AND ABILITIES

Ability to communicate clearly and concisely.

Mathematical skills and verbal and written communication skill, capability to prioritize completing multiple projects.

MINIMUM QUALIFICATIONS

High school diploma or GED; minimum of two years of customer service experience.

Excellent verbal and organizational skills, ability to interface with difficult customers and work with minimum direct supervision to meet required goals.

PREFERRED QUALIFICATIONS

One year of previous medical billing experience.

Additional related education and/or experience.

EEO STATEMENT EEO/Disabled/Veterans

Our organization supports a drug‑free work environment.

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