Customer Service Representative CPAP Team Member
4 weeks ago
We are seeking a dedicated Customer Service Representative CPAP to join our team at Rotech Healthcare Inc. In this position, you will be responsible for performing all tasks and communication related to the intake of patient information concerning the service of durable medical equipment and respiratory products and supplies with patients/clients, co-workers, and referral sources as it relates to patient services and third-party reimbursement.
Key Responsibilities- Communicate and work with operations and sales staff to reduce internal workflow issues and errors that affect processing time-lines and patient care.
- Communicate with patients/clients, referral sources, and Rotech sister locations both verbally and in writing to ensure patient/client questions and concerns are processed in a timely manner.
- Comply with all applicable company policies and procedures to meet JCAHO and company standards.
- Comply with and follow internal and company-wide operating protocols in processing role.
- Examine and propose improvements to increase efficiencies, decrease processing time-line, and minimize errors.
- Expected to maintain expertise of insurance requirements for locations serviced in the division.
- Hold themselves accountable to their goals, regularly and proactively communicate progress, plans, and problems to supervisor as well as providing solutions to challenges that arise.
- Internal recommendations: Dedicated Inbox Processor 20 tickets per day; Inbox/OIP Processor 10 tickets & 30 OIP accounts per day; OIP Processor 60 accounts per day (Work rate expectations dependent on tenure of position).
- Maintain understanding of internal policies and procedures.
- Processes new orders: inputs new patient set-ups, verify insurance eligibility and order requirements, follow up and obtain missing documentation, obtain authorizations, collect patient balances, work with 3rd party platforms, communicate with patient regarding their set up expectations and completes daily assigned work in an accurate and timely manner.
- Proficient at managing varying expectations per each referral source and sales rep.
- Verifies Medicare, Medicaid, and private insurance coverage information and maintains expertise of insurance requirements by product line.
- Work assigned to the CSR Processing Specialist is measured by the Managers quantity and quality/accuracy of work completed.
- Works autonomously and independently to maintain a high performance rate and above average results in the in-box, OIP, and assigned goals.
- Works with colleagues to support the overall goals of the team.
- Work from home position requirements: Have adequate Internet and work space free from distractions.
- Background investigation (company-wide).
- Drug screen (when applicable for the position).
- Valid drivers license in state of residence with a clean driving record (when applicable for the position).
- Experience with medical equipment.
- Experience with medical billing practices and of billing reimbursement.
- Experience in medical field and administrative record management.
- One year of related work experience.
- Medical terminology.
- Accurately perform simple mathematical calculations.
- Effectively communicate in English; both oral and written.
- Interpret a variety of communications (verbal, non-verbal, written, listening and visual).
- Maintain confidentiality, discretion and caution when handling sensitive information.
- Multi-task along with attention to detail.
- Self-motivation, organized, time-management and deductive problem solving skills.
- Work independently and as part of a team.
- Email transmission and communication.
- Internet navigation and research.
- Microsoft applications; Outlook, Word and Excel.
- Office equipment; fax machine, copier, printer, phone and computer and/or tablet.
- Lift and carry office equipment at times.
- Requires sitting, walking, standing, talking and listening.
- Requires close vision to small print on computer and/or tablet and paperwork.
- Work from home position requirements: Have adequate Internet and work space free from distractions.
- 401k.
- Medical, Dental and Vision.
- Life Insurance and Disability.
- Generous Paid Time Off and Paid Holidays.
- Employee Discount Program.
- Employee Recognition Program.
- Bonus and Incentive Opportunities.
- Mileage reimbursement (when applicable for the position).
- Telephone reimbursement (when applicable for the position).
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