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Healthcare Consultant: PHS NB Customer Service

3 weeks ago

Franklin, United States Rose International Full time

Date Posted: 04/21/2024

Hiring Organization: Rose International

Position Number: 462678

Job Title: Healthcare Consultant: PHS NB Customer Service

Job Location: Franklin, TN, USA, 37064

Work Model: Onsite

Employment Type: Temporary

Estimated Duration (In months): 9

Min Hourly Rate ($): 16.50

Max Hourly Rate ($): 16.50

Must Have Skills/Attributes: Billing, Customer Service, Data Entry, Healthcare, Medical Terminology, Medicare, MS Excel

Job Description

**Only those lawfully authorized to work in the designated country associated with the position will be considered. **

**Please note that all Position start dates, and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements. **

Description:

• The primary responsibilities are to verify insurance coverage for potential and new clients. Additionally, this person will re-verify insurance coverage for existing patients to answer questions about benefits, coverage, billing and payments.

• Effective delivery of company products and services

• Responds to telephone inquiries from new policyholders, tenured policyholders, agents and their representatives

• Provides information coverage and benefits, billing and payments and field general questions. Determines the best method for providing services.

• Verifies insurance and/or payments

• May perform data entry.

• May assist with the processing of billing paperwork.

• Accurately maintains files of all patient account profile information and referral source data.

• Resolves patient complaints by identifying the root cause of opportunities and coordinating appropriate corrective action.

Experience

• Knowledge of Medicare and 3rd party vendors is a plus.

• Ability to demonstrate excellent customer services to members, agents and their representatives.

• Must demonstrate strong attention to detail and proven analytic and problem solving.

• This role will require an understanding of insurance concepts, including governmental plans, ancillary plan benefits, and other coverages.

• Minimum of 1 year in a customer service or call center environment (call center type environments preferred, if doctor’s office then anything below managing 75 calls/day would not translate to similar environment).

• Must have effective and empathetic communication style in managing inbound calls and communications with clients and team members.

• Computer experience is required with proficiency in Microsoft Outlook, Word and Excel.

• Basic alpha number data entry skills with attention to accuracy and quality is essential.

• Intermediate math skills are required with attention to detail and quality essential.

• Experience in a health care setting or insurance industry is a plus, including knowledge of basic insurance and third-party terms and medical terminology.

• Ability to work with people in a team environment while meeting individual performance goals.

• Must be able to read and interpret policies, procedures and instructions.

• Effective organizational skills and ability to prioritize a fluctuating workload and competing priorities is essential.

Position Summary

• Effective delivery of company products and services

• Responds to telephone inquiries from new policyholders, tenured policyholders, agents and their representatives

• Provides information coverage and benefits, billing and payments and field general questions.

• Determines the best method for providing services.