Customer Care Specialist Hybrid
4 weeks ago
We are seeking a highly skilled Customer Care Specialist Hybrid to join our team at SuperCare Health. As a key member of our customer service team, you will be responsible for providing exceptional support to our patients, clients, and referral sources.
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.
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