Customer Service
3 weeks ago
Title: Customer Service - Onsite
Description:
Principle Responsibilities
The following reflects management's definition of essential functions for this job, but does not restrict the tasks that may be assigned. Management may assign or reassign duties and responsibilities to this job at any time due to reasonable accommodation or other reasons.
Responsible for direct communication and building relationship contacts with health plans to secure Single Case Agreements.
Responsible for the management of all Single Case Agreements, including, tracking outcomes, identifying problem payers, negotiating rates (as needed), and securing required signatures.
Oversees and ensures the accuracy of Single Case Agreements meets authorization and claims requirements.
Collaborate with Provider Relations Manager, Verification of Benefits Manager and Revenue Cycle manager on payment analysis and providing feedback for new patient admissions and or continuation of care.
Present feedback on outcomes and correspondence or lack of correspondence related to Single Case Agreements that present risk on reimbursement outcomes.
Routinely evaluates Insurance Master, Plan Guidelines and non-contracted tools of current processes and make updates as needed based on Single Case Agreement outcomes.
Acquires necessary medical records and documentation from customer charts to communicate via phone, fax or e-mail with other medical facilities, hospitals and insurance carriers.
Follows all regulatory policies and procedures, privacy and security standards in accordance with government agencies to include HIPAA requirements.
Performs other duties as assigned by superiors
Required Qualifications
High School Diploma or GED required
Three to Five (3-5) years' experience in insurance benefit verification and/or collections and/or managed care contracting.
Excellent verbal and written communication skills, including ability to effectively communicate with internal and external customers.
Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service
Ability to work independently and to carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices
Understand the process for verification of benefits and collections as it relates to the policies and procedures for effective placement of customers and reimbursement.
Complete Understanding of Medicare Rules and Regulations
Advanced MS Office experience, with an emphasis on MS Excel desired
Preferred Qualifications
Associate's Degree is preferred
Knowledge in Managed Care
Knowledge in Contracting and Fee Schedules
Strong Computer/Software Skills
Physical Requirements
Must be able to work at a computer workstation for extended periods of time
No lifting over 10 pounds required without assistance
Years Experience: min. 1 yr. Knowledge of VA, Workers Comp, PA Appeals is a must
Skills:
understanding of Medicare rules and regulations; understanding of managed care as it relates to benefits and authorizations; advanced MS Office experience; strong verbal and written communication skills;
Education: min. HS diploma or GED equivalent
Duties:
Contacts insurance companies to verify insurance benefits; initiates pre-authorization requests for new and ongoing services with insurance companies and performs follow up activities for an outcome; files Appeals for denied coverage to insurance companies as needed; maintains customer records in practice management system related to benefit coverage, coordination of benefits, authorizations, denials, appeals, outcomes and communication with insurance company; coordinates and communicates with other departments as needed to obtain necessary information to complete benefit verification, authorization, appeals and outcomes for services of care; provides customers with information that includes but is not limited to: updates on status of authorizations, developing & communicating patient financial responsibility estimates, and collecting co-pays, if applicable; applies knowledge of company procedures, contracted and non-contracted guidelines to process cases accordingly and to respond to incoming correspondence and documentation as well as updating customer records according to outcomes; performs other related duties as assigned.
Notes:
Hours: 8 to 4:30 pm or 8:30 to 5pm with two 15 min breaks and one half-hour lunch break
Nature of Work: Person will be doing Verification of Benefits in the Appeals process for prior authorization/denials/exceptions, etc. Lots of paperwork and phone calls.
Person MUST come with 1 year of experience and knowledge in Veteran Affairs, Worker Compensation, Medicaid, Medicare Advantage, PPO and Prior Authorization Appeals are all a MUST
Top skills to look for: ability to work in a fast paced environment, ability to be adaptable to change, attention to detail, good phone skills/communication skills
Will train on their system which is Patient Connect/Salesforce
-
Entry-Level Customer Engagement Professional
4 weeks ago
Orlando, United States Customer Relations and Sales Firm Full timeAre you a hospitality professional with a passion for creating exceptional customer experiences? We are looking to fill both full-time and part-time positions within our Customer Engagement team. The Customer Engagement Professional will bring their outstanding customer service skills to a whole new level. They will take their knowledge of being the face...
-
Customer Service
2 days ago
Orlando, United States Professional Moving & Storage INC Full timeWe are looking for motivated individuals who possess excellent listening skills as well as superior communication abilities, both verbal and written. Job will entail answering and responding to both incoming and outgoing sales and service calls. Skill set required: Must possess strong verbal and written communication skills Must have strong typing and...
-
Customer Service
1 week ago
Orlando, Florida, United States Public Storage Full timeCompany DescriptionPublic Storage is the self-storage industry leader and we are Hiring NowOrlando - Zip Codes: 32811 and 32808Earn $13.50 Per HourOur BenefitsTotal Rewards package available to our team: We work Flexible and Full-Time Schedules between the hours of 9:30am and 6pm (weekends 'til 5pm) Employees become eligible for Full-time Benefits by working...
-
Customer Service
1 day ago
Orlando, Florida, United States Public Storage Full timeCompany DescriptionPublic Storage is the self-storage industry leader and we are Hiring NowOrlando - Zip Codes: 32811 and 32808Earn $13.50 Per HourOur BenefitsTotal Rewards package available to our team: We work Flexible and Full-Time Schedules between the hours of 9:30am and 6pm (weekends 'til 5pm) Employees become eligible for Full-time Benefits by working...
-
Customer Service Leader
2 weeks ago
Orlando, United States VORTEX INDUSTRIES, LLC Full timeDescription: Vortex is the leader in Doors/Security Products, Storefront Glass/Glazing, Access Controls and Material Handling Equipment for Commercial, Industrial and Retail Facilities. Our diverse list of products and services allows variety and different challenges every day at Customer's sites while providing solutions to keep them safe and efficient. -...
-
Customer Service Representative
2 weeks ago
Orlando, United States M. Coast Enterprise Full timeThe customer comes first within the hospitality industry and that is no exception at M. Coast. Our Customer Service Representatives help the local neighborhoods by offering products and services from our various clientele to increase their brand awareness and community outreach. As a Customer Service Representative, you will be a part of creating and...
-
Customer Service Representative
1 week ago
Orlando, United States Swipe Say Easy Full timeWe are currently seeking a Customer Service Representative to join our team and provide exceptional service to our valued customers! As a Customer Service Representative, you will be the first point of contact for our customers, assisting them with inquiries, resolving issues, and ensuring a positive experience with our company. This is a great opportunity...
-
Customer Service Representative
2 days ago
Orlando, United States Swipe Say Easy Full timeWe are currently seeking a Customer Service Representative to join our team and provide exceptional service to our valued customers!As a Customer Service Representative, you will be the first point of contact for our customers, assisting them with inquiries, resolving issues, and ensuring a positive experience with our company. This is a great opportunity to...
-
Customer Service III
2 weeks ago
Orlando, United States Blue Star Partners, LLC Full timeTitle: Customer Service III Rate: $14 -$17/hr Contract: 6 Months with possible extension Location: Orlando, FL (100% On-Site) Job Description:We are seeking a highly skilled and experienced Customer Service III representative to join our client's team. The Customer Service III role is pivotal in providing exceptional customer support and managing complex...
-
Customer Service III
2 months ago
Orlando, United States Blue Star Partners LLC Full timeJob DescriptionJob DescriptionTitle: Customer Service IIIRate: $14 -$17/hrContract: 6 Months with possible extensionLocation: Orlando, FL (100% On-Site)Job Description:We are seeking a highly skilled and experienced Customer Service III representative to join our client's team. The Customer Service III role is pivotal in providing exceptional customer...
-
Customer Service III
1 day ago
Orlando, United States Blue Star Partners LLC Full timeJob DescriptionJob DescriptionTitle: Customer Service IIIRate: $14 -$17/hrContract: 6 Months with possible extensionLocation: Orlando, FL (100% On-Site)Job Description:We are seeking a highly skilled and experienced Customer Service III representative to join our client's team. The Customer Service III role is pivotal in providing exceptional customer...
-
Customer Service Representative
2 weeks ago
Orlando, United States Swipe Say Easy Full timeWe are currently seeking a Customer Service Representative to join our team and provide exceptional service to our valued customers!As a Customer Service Representative, you will be the first point of contact for our customers, assisting them with inquiries, resolving issues, and ensuring a positive experience with our company. This is a great opportunity to...
-
Customer Service Representative
1 day ago
Orlando, United States Authority Garage Supply Full time**About Us**: We are rewarding, customer-centric, fun and our goal is to be the most trusted partner and customer preferred provider of residential and commercial garage doors, parts and operators. At Authority Garage Supply we set the standard of excellence for door suppliers that raises the bar when it comes to first class customer service. The strength of...
-
Customer Service Leader
3 weeks ago
Orlando, United States VORTEX INDUSTRIES, LLC. Full timeJob DescriptionJob DescriptionDescription:Vortex is the leader in Doors/Security Products, Storefront Glass/Glazing, Access Controls and Material Handling Equipment for Commercial, Industrial and Retail Facilities. Our diverse list of products and services allows variety and different challenges every day at Customer's sites while providing solutions to...
-
Customer Service Leader
3 weeks ago
Orlando, United States Vortex Industries LLC Full timeDescriptionVortex is the leader in Doors/Security Products, Storefront Glass/Glazing, Access Controls and Material Handling Equipment for Commercial, Industrial and Retail Facilities. Our diverse list of products and services allows variety and different challenges every day at Customer's sites while providing solutions to keep them safe and efficient.Due to...
-
Customer Service Leader
2 weeks ago
Orlando, United States Vortex Industries LLC Full timeDescriptionVortex is the leader in Doors/Security Products, Storefront Glass/Glazing, Access Controls and Material Handling Equipment for Commercial, Industrial and Retail Facilities. Our diverse list of products and services allows variety and different challenges every day at Customer's sites while providing solutions to keep them safe and efficient.Due to...
-
Customer Service Representative
1 week ago
Orlando, United States VORTEX INDUSTRIES, LLC. Full timeJob DescriptionJob DescriptionDescription:Vortex Doors, America’s highest quality and most customer-centric commercial and industrial door installation & repair company, is seeking a dedicated and customer-focused individual to join our team as Customer Service Representative. As a Customer Service Representative, you will be the first point of contact for...
-
Customer Service
3 weeks ago
Orlando, United States Apex Auto Glass Full timeEver believe you're worth more than what's offered to you? You deserve the best opportunity to succeed, and here is that opportunity. Our company is looking for flexible individuals that are also go-getters. There's no age requirement for hungry, This is 100% a sales position, yet what we sell is a no-cost service to our customers and its needed all over...
-
Customer Service Representative
3 weeks ago
Orlando, United States Think Tell Junction Full timeJob DescriptionJob DescriptionJoin Our Team as a Customer Service Representative at Think Tell JunctionAre you passionate about providing exceptional customer service? Think Tell Junction is looking for a Customer Service Representative to join our dedicated team in Orlando, FL. As a Customer Service Representative, you will play a crucial role in ensuring...
-
Customer Service Representative
2 weeks ago
Orlando, United States Six Rings Inc Full timeJob DescriptionJob Description Job SummaryWe are seeking a Customer Service Representative to join our team. In this role, you will communicate with customers to identify their needs, process requests, escalate complaints, and provide helpful solutions that ensure they have a great customer service experience with our company. The ideal candidate is...
