Customer Care Specialist

1 week ago


Milpitas, California, United States SuperCare Health Full time
Job Summary: We are seeking a highly skilled Customer Care Specialist to join our team at SuperCare Health. As a key member of our respiratory services team, you will be responsible for providing exceptional customer service to patients, clients, and referral sources. Your primary focus will be on maintaining a positive and helpful attitude, ensuring that all customers receive excellent service.

Key Responsibilities:

* Answer incoming phone calls and faxes, taking customers' orders for durable medical and respiratory equipment, repairs, supplies, and other miscellaneous items
* Maintain open communication with patients/clients and referral sources
* Respond to patient/client questions and problems
* Service walk-in customers as needed
* Prepare intake, gathering all necessary information about referral, patient demographics, contact person, physician, diagnosis, discharge time and place, item(s) requested
* Gather all necessary documentation, prior to delivery CMN, Rx, ABG, Care Plan, Auth, etc.
* Verify medical necessity with physician
* Verify eligibility and coverage with Insurance and carrier according to guidelines or contract
* Verify payer (with matrix), obtains authorization, expiration date
* Verify patient demographics and prior equipment usage with patient
* Inform patient of financial responsibilities: copay, share of cost, deductible, etc.
* Enter data and each order (new or otherwise) in system accurately and in a timely manner
* Process closet and on-call orders as received
* Enter notes in appropriate areas of insurance, general, and authorizations in the computer system
* Process orders to shipping or dispatching for Technician or RT deliveries
* Remain knowledgeable on product and insurance coverage issues in order to inform patients of copays and other benefit information
* Attend all departmental meetings, company meetings, and in-services
* Reports to work daily and is ready to work at the scheduled start time
* Works Saturday assignment as needed or scheduled
* Performs any other duties that may be requested by supervisor or management
* Understand and adheres to all of SuperCare Health company policies
* To remain knowledgeable to date on all products, guidelines and insurance coverage trends
* Maintain a professional safe and clean work environment.

Requirements:

* Experience with Medical Supply Company
* Knowledge of diagnosis and Medical terminology
* Excellent Customer Service skills
* Detail oriented
* Previous Management/Supervisor or Lead experience
* Proficiency in Microsoft Word, Outlook, and PowerPoint
* Experience in healthcare, medical and/or HME industry (preferred)
* Be able to work on multiple tasks. Plan and prioritize actives to achieve results and meet deadlines
* Strong organizational skills and detail oriented
* Bilingual Spanish Preferred

Benefits:

* Medical
* Dental
* Vision
* Flexible Savings Account
* 401K
* Voluntary Life Insurance
* Observed Holidays: New Year's Day, Memorial Day, July 4th, Labor Day, Thanksgiving Day, Christmas Day.

Perks:

* Paid Training
* Paid Time Off
* Sick Time
* Growth Opportunities
* Employee Referral Reward Program
* Employee Discount Program

What SuperCare Health is About:

SuperCare Health is a comprehensive, post-acute care, respiratory services company, focused on managing high-risk respiratory patients in their homes. Today, SuperCare health manages millions of lives annually, with a growing team of more than 400 members, and has one of the highest-rated satisfaction scores from both our customers and patients. Our goal is to be the most trusted and preferred resource to manage high-risk, post-acute respiratory patients through our high-touch clinical team and high-tech, innovative solutions. Our end-to-end care solutions, from the hospital to the home, close gaps in care, reduce costs of care and improve outcomes. Our in-home services include ventilation, oxygen, CPAP/BiPAP, enteral nutrition, pharmacy services, and an expanding population health program. We are uniquely structured to be a responsive and agile community provider, yet we also possess the stability and effectiveness of a large enterprise. As a thriving business, our chief focus is on what really matters: reducing hospital re-admissions, optimizing outcomes and improving the lives of patients with chronic care diseases, every day.
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