Customer Service Representative

4 weeks ago

Brevard NC, United States TEKsystems Full time

Job Summary

We are seeking a highly skilled Customer Service Representative to join our team at TEKsystems. As a Customer Service Representative, you will be responsible for providing exceptional customer service to our patients, answering their questions, and resolving any issues they may have.

Key Responsibilities

  • Develop and maintain a working knowledge of our products and services
  • Answer all calls and emails in a timely manner
  • Document all call information according to standard operating procedures
  • Process orders, route calls to appropriate resources, and follow up on customer calls as needed
  • Review all required documentation to ensure accuracy
  • 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 required
  • Must be able to navigate through multiple online EMR systems to obtain applicable documentation
  • Enter and review all pertinent information in EMR system, including authorizations and expiration dates
  • 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, if not request the new carrier is entered
  • Responsible for contacting patient 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
  • Pays attention to detail and has great organizational skills
  • Actively listens to patients and handle stressful situations with compassion and empathy
  • Flexible with the actual work and the hours of operation
  • Utilize company provided tools to maintain quality

About TEKsystems

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

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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