Service Sales Support Coordinator
2 weeks ago
Position: Service Sales Support Coordinator
Location: Stuart, FL
Duration: 12 Months Contract
Total Hours/Week: 40.00
Shift: 1st Shift
Monday to Friday with flexible hours post-training, initial schedule starts at 8:30 AM – 5 PM.
Job Overview:
Purpose of the Role:
- To confirm new patient insurance coverage and to re-confirm existing patient insurance coverage for eligibility regarding medical supplies and billing.
Main Responsibilities:
- Conduct verification and documentation of new patient insurance coverage and coordinate costs for supplies to communicate to patients and billing departments.
- Re-confirm existing patient insurance coverage to ensure accurate communication of repeat order costs and eligibility.
- Engage with insurance carriers to request prior authorizations as necessary for patients requiring approval before obtaining medical supplies.
- Handle special verification projects for newly contracted insurance plans and audit patients who may be affected.
- Ensure verification of insurance coverage complies with HIPAA and regulatory standards.
- Make outbound calls or utilize online portals for providers.
- Communicate internally with Sales Operations or Medical Billing Operations regarding insurance eligibility for both new and existing patients to facilitate sales or acquire further medical documentation.
- Interact externally with patients to clarify information related to their insurance benefits and its implications for their medical supply purchases.
- Continuously develop and maintain knowledge of medical terminology, billing practices, and insurance guidelines.
- Identify and resolve insurance verification issues professionally.
- Track daily production and submit logs to the direct supervisor.
Additional Responsibilities:
- Foster a positive work environment that reflects the company’s values of professionalism, teamwork, and integrity.
- Perform other duties as assigned.
Reporting Structure:
- No supervisory responsibilities.
- Provides work direction only.
- May have responsibilities for hiring, promotions, transfers, performance management, and disciplinary actions.
Qualifications:
- To succeed in this role, candidates must be able to perform each essential duty satisfactorily. The qualifications listed below are representative of the knowledge, skills, and abilities required.
Education and Experience:
- High School Diploma or GED; one to two years of related experience and/or training; or an equivalent combination of education and experience.
Skills Required:
Language:
- Ability to read, analyze, and interpret medical supply publications, technical procedures, and training materials. Proficient in writing business correspondence and effectively presenting information.
Mathematics:
- Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, and percentages. Intermediate math skills are required.
Reasoning:
- Ability to solve practical problems and handle various variables. Capable of interpreting a variety of instructions in written, oral, diagram, or schedule form.
- Advanced analytical reasoning skills to forecast workflows and consider external factors.
Computer Skills:
- Familiarity with Microsoft Office Applications, Access, or other database software.
Telecommunications:
- Knowledge of call center telecommunications software.
Certifications:
- No certifications required.
Performance Metrics:
- Demonstrated ability to complete one (1) insurance verification every 9-11 minutes on average, maintaining an error rate of 3.5% or less each quarter.
- Production and quality standards are subject to management discretion and may change without prior notice.
Work Requirements:
- Willingness to work some evening shifts, weekends, and overtime as necessary.
Physical Demands:
- The physical demands described are representative of those required to perform the essential functions of this job. Reasonable accommodations may be made for individuals with disabilities.
- While performing this role, employees are frequently required to walk, sit, use hands to handle or feel, and talk or hear. Occasionally, they may need to stand and lift or move up to 10 lbs.
Work Environment:
- The work environment characteristics described are typical of those encountered while performing the essential functions of this job. Reasonable accommodations may be made for individuals with disabilities.
- Tasks are performed in a temperature-controlled office environment under normal office conditions with a moderate noise level.
- Minimal exposure to hazards or physical risks is expected, requiring adherence to basic safety precautions.
Disclaimer:
- This job description is intended to convey the general nature and level of work performed; it is not an exhaustive list of all responsibilities, duties, and skills required for this position.
- Company officers and management staff may assign additional duties as needed.
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