Healthcare Customer Service Associate
2 weeks ago
Livanta stands as the foremost healthcare quality enhancement organization in the United States, serving as a trusted consultant to the Centers for Medicare and Medicaid Services (CMS). Our deep understanding of beneficiaries has led us to create programs that enhance patient outcomes, boost satisfaction, and significantly lower readmission rates. With technology integrated into our operations, Livanta has developed a suite of telehealth services, data analytics, and monitoring tools aimed at fostering a more effective healthcare system that links beneficiaries, providers, and payers to optimize health results, enhance efficiency, and control costs.
We are on the lookout for Patient Service Representatives who embody empathy, consideration, and responsiveness to join our dynamic team.
Key Responsibilities- Educate Medicare beneficiaries and relevant parties about their rights and responsibilities under the Medicare program.
- Assist in the review process to ensure compliance with the required timeliness and accuracy as outlined by the contract and the Quality Improvement Organization (QIO) manual.
- Serve as a neutral intermediary for beneficiaries, their families, or their representatives.
- Communicate the activities and responsibilities of the QIO to Medicare beneficiaries, healthcare providers, and other stakeholders.
- Build and maintain positive relationships with both external and internal clients.
- Draft correspondence to physicians, facilities, and other healthcare and community organizations as necessary.
- Ensure the accuracy of contact information, maintain up-to-date mailing lists, and coordinate mailings.
- Manage and maintain medical records.
- Document all phone calls, critical conversations, and correspondence with beneficiaries and providers using an electronic application.
- Accurately enter data into software applications in a timely manner.
- Safeguard the confidentiality of beneficiary information in accordance with the Health Insurance Portability and Accountability Act (HIPAA) and the Health Information Technology for Economic and Clinical Health Act (HITECH).
- High school diploma or equivalent (GED).
- Minimum of two years of experience in customer service.
- Exceptional oral and written communication skills.
- Strong attention to detail.
- Proficiency in database software programs (e.g., Microsoft Office).
- Excellent interpersonal and problem-solving abilities.
- Ability to exercise sound judgment.
- Capability to organize and manage multiple tasks simultaneously in a team setting.
- Ability to gather data and identify relevant information.
This role is perfect for individuals who aspire to make a meaningful impact. You will play a crucial role in enhancing the lives and health of one of the most vulnerable populations in our society. Join our team and contribute to making a difference.
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