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Customer Service Representative

4 months ago

Elmhurst, New York, United States Aston Carter Full time

Aston Carter is Hiring for Customer Service Representative for a medical company

Description:

  • Handle 60-90 inbound calls per day
  • Complete insurance verification to determine patient's eligibility, coverage, co-insurances, and deductibles
  • Obtain pre-authorization if required by an insurance carrier and process physician orders to insurance carriers for approval and authorization when required
  • Must be able to navigate through multiple online EMR systems to obtain applicable documentation
  • Enter and review all pertinent information in EMR system including authorizations and expiration dates
  • Communicate with Customer Service and Management on an on-going basis regarding any noticed trends with insurance companies
  • Verify insurance carriers are listed in the company's database system, if not request the new carrier is entered
  • Responsible for contacting patient when documentation received does not meet payer guidelines to provide updates and offer additional options to facilitate the referral process.
  • Talking with patients and working through referrals, answer all calls and emails in a timely manner, in adherence to their goals
  • Document all call information according to standard operating procedures
  • Accurately process, verify, and/or submit documentation and orders
  • Meet quality assurance requirements and other key performance metrics
  • Facilitate resolution on customer complaints and problem solving
  • Utilize company provided tools to maintain quality. Some tools may include but are not limited to Authorization Guidelines, Insurance Guidelines, Fee Schedules, NPI (National Provider Identifier), PECOS (the Medicare Provider Enrollment, Chain, and Ownership System) and "How-To" documents

Qualifications:

MUST HAVES:

  • 1+ year of customer service (retail or call center)
  • 1+ year of Microsoft Word

PLUS HAVES:

  • Healthcare/Medical Terminology
  • Explanation of Benefits
  • Medical Scheduling Experience
About Aston Carter:

Please Note: Scammers are posing as Aston Carter. We'll never contact you via Gmail, Telegram, or WhatsApp and we'll never solicit money from you.

At Aston Carter, we're dedicated to expanding career opportunities for the skilled professionals who power our business. Our success is driven by the talented, motivated people who join our team across a range of positions – from recruiting, sales and delivery to corporate roles. As part of our team, employees have the opportunity for long-term career success, where hard work is rewarded and the potential for growth is limitless.

Established in 1997, Aston Carter is a leading staffing and consulting firm, providing high-caliber talent and premium services to more than 7,000 companies across North America. Spanning four continents and more than 200 offices, we extend our clients' capabilities by seeking solvers and delivering solutions to address today's workforce challenges. For organizations looking for innovative solutions shaped by critical-thinking professionals, visit Aston Carter is a company within Allegis Group, a global leader in talent solutions.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please call or email for other accommodation options. However, if you have questions about this position, please contact the Recruiter located at the bottom of the job posting. The Recruiter is the sole point of contact for questions about this position.