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Customer Service Representative

2 months ago

Stuart, Florida, United States MILLENNIUMSOFT Full time
Job Summary

MILLENNIUMSOFT is seeking a highly skilled and detail-oriented Customer Service Representative to join our team. As a Customer Service Representative, you will be responsible for verifying new patient insurance coverage and re-verifying existing patient insurance coverage for medical supply eligibility and billing purposes.

Key Responsibilities
  • Verify new patient insurance coverage and re-verify existing patient insurance coverage for medical supply eligibility and billing purposes
  • Document and communicate insurance coverage information to patients and billing departments
  • Contact insurance carriers to request prior authorizations as needed
  • Special verification projects for newly contracted insurance plans and audits of impacted patients
  • Verify insurance coverage through HIPAA and regulatory compliant outbound phone calls or online portals
  • Communicate internally with Sales and Medical Billing operations on insurance eligibility for new and existing patients
  • Communicate externally with patients to explain insurance benefit information and medical supply purchases
  • Develop and maintain knowledge in medical terminology, billing, and insurance guidelines
  • Identify and resolve insurance verification-related issues
  • Track daily production and submit daily logs to direct supervisors
Requirements
  • High School Diploma or equivalent
  • 1-2 years of related experience and/or training
  • Strong communication and analytical skills
  • Ability to work in a fast-paced environment
  • Knowledge of Microsoft Office applications and database software
Preferred Qualifications
  • Call center experience
  • Medical billing or insurance experience
  • Strong computer skills and Microsoft Office experience
Working Conditions
  • Ability to work some evening shifts, weekends, and overtime as needed
  • Ability to lift and move up to 10 lbs