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Medical Customer Service Representative

Medical Customer Service Representative job description

The medical customer service representative provides support to patients, healthcare providers and insurance representatives by handling inquiries, resolving issues and ensuring accurate information regarding medical services and billing. This role focuses on delivering exceptional customer service while maintaining compliance with healthcare regulations.Working closely with clinical teams, billing departments and administrative staff, the medical customer service specialist manages calls, processes requests and updates patient records. This position plays a key role in enhancing patient satisfaction and supporting operational efficiency.

Typical medical customer service representative duties:

Respond to patient and provider inquiries regarding appointments, billing and insurance coverageVerify patient information and update records in electronic health systemsAssist with scheduling appointments and coordinating services across departmentsResolve billing questions and escalate complex issues to appropriate teamsCommunicate clearly and professionally with patients, providers and insurance representativesMaintain compliance with HIPAA and other regulatory requirements during all interactionsDocument all customer interactions and ensure accurate data entrySupport administrative tasks related to patient services and revenue cycle processes

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National salary range for Medical Customer Service Representative

42000 - 53000

Low
42000
The candidate is new to the role or has limited experience and is still developing core skills.
Mid
47500
The candidate has moderate experience in the role or one similar, meets most requirements and may hold transferable skills or relevant certifications.
High
53000
The candidate has extensive experience in the role, demonstrates advanced skills and often brings specialized certifications or industry experience.
Projected salaries for related positions Job title Low Mid High Medical Coding Manager 66750 75750 86250 Certified Professional Coder 53500 61750 72250 Credentialing Specialist 44500 49000 57750 Insurance Authorization Specialist 41000 45250 49500 Intake/Admissions Specialist 40250 42750 46500 Patient Access/Services Specialist 38000 42000 45750 Medical Scheduler 38250 40500 43750 Medical Data Entry Specialist 36250 40000 44750 Insurance Verification Specialist 37500 42500 47500 Insurance Referral Coordinator 37000 40000 45750 Patient Registration Specialist 36750 42750 48000 Health Information Management Specialist 34750 39500 47000 Electronic Medical Records Specialist 33750 36000 39000

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The salary benchmarks in the Salary Guide From Robert Half are the result of a rigorous, multistep process designed to reflect projected market trends for 2027. They are based on actual compensation for professionals Robert Half has placed nationwide, along with third-party job posting data from Textkernel that we use for independent validation. Learn more about our methodology.