Healthcare Customer Service Representative
4 weeks ago
We are seeking a skilled Customer Service Specialist to join our team at TEKsystems. As a key member of our customer service team, you will be responsible for providing exceptional service to our patients and clients.
Key Responsibilities- Develop and maintain a working knowledge of current products and services offered by the company.
- Answer all calls and emails in a timely manner, adhering to established goals and standards.
- Document all call information according to standard operating procedures.
- Process orders, route calls to appropriate resources, and follow up on customer calls as necessary.
- Review all required documentation to ensure accuracy and completeness.
- Accurately process, verify, and/or submit documentation and orders.
- Complete insurance verification to determine patient eligibility, coverage, co-insurances, and deductibles.
- Obtain pre-authorization if required by an insurance carrier and process physician orders to insurance carriers for approval and authorization when necessary.
- Communicate with customer service and management on an ongoing basis regarding any noticed trends with insurance companies.
- Verify insurance carriers are listed in the company's database system, and request new carriers be entered if necessary.
- Responsible for contacting patients when documentation received does not meet payer guidelines to provide updates and offer additional options to facilitate the referral process.
- Meet quality assurance requirements and other key performance metrics.
- Facilitate resolution on customer complaints and problem-solving.
We're partners in transformation, helping clients activate ideas and solutions to take advantage of a new world of opportunity. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information, or any characteristic protected by law.
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