Representative I: PHS/NB Customer Service

3 weeks ago

Franklin, United States US Tech Solutions, Inc. Full time

Job Title: Representative I: PHS/NB Customer Service.

Duration: 12 Months.

Location: Franklin TN 37064.

Work Schedule: Mon - Fri 8:00am - 5:00pm.

Job Summary:

As a Coordinator III - Corporate Services the individual will be responsible to perform a wide-range of licensing functions, including but not limited to: renewals, document management and project support. This role will be instrumental to assist the team by providing the additional support to meet regulatory deadlines and project due dates.

Responsibilities:

· Tasks for Customer Service Rep can differ per location: Effective delivery of company products and services.

· Responds to telephone inquiries and orders from homecare patients and referral sources.

· Provides information on equipment, supplies and services.

· Determines the best method for providing services.

· May assist walk-in patients with the selection of equipment, supplies and services.

· Timely processing/facilitation of patient orders.

· Processes telephone orders by preparing patient paperwork.

· Verifies insurance and/or other method of payment.

· Completes all necessary paperwork in an accurate and efficient manner to facilitate the data entry, accounts receivable and delivery of the order placed.

· May perform data entry.

· Distributes copies of paperwork to appropriate personnel.

· May assist with the processing of billing paperwork.

· Effective coordination of patient services/supplies.

· Coordinates the delivery, set-up and pick-up of equipment, supplies and services with appropriate personnel.

· Ensures deliveries and set-ups can be arranged in a timely manner.

· Appropriate documentation.

· Accurately maintains files of all patient account profile information and referral source data.

· Customer satisfaction.

· Resolves patient complaints by identifying problems and coordinating appropriate corrective action.

· The primary responsibilities are to verify insurance coverage for potential new clients.

· Additionally, this person will re-verify insurance coverage for existing patients in order to process patient prescription needs successly and demonstrate excellent customer services to patients, healthcare professionals, and insurance carriers.

· This role will require an understanding of insurance concepts, including drug cards, major medical benefits, and per diem coverage, as well as knowledge of government and patient assistance programs.

· Strong attention to detail, and proven analytic and problem solving.

Experience:

· Knowledge of Medicare, Medicaid, and 3rd party vendors is a plus.

· Minimum of 1 year experience in a customer service or call center environment (call center type environments preferred, if doctors office then anything below managing 75 calls/day would not translate to similar environment).

· Must have effective and empathetic communication style in managing inbound calls and communications with clients and team members.

· Computer experience is required with proficiency in Microsoft Outlook, Word and Excel.

· Basic alpha number data entry skills with attention to accuracy and quality is essential.

· Intermediate math skills are required with attention to detail and quality essential.

· Experience in a health care setting or insurance industry is a plus, including knowledge of basic insurance and third party terms and medical terminology.

· Ability to work with people in a team environment while meeting individual performance goals.

· Must be able to read and interpret policies, procedures and instructions.

· Effective organizational skills and ability to prioritize a fluctuating workload and competing priorities is essential.

Education:

· High school diploma or GED.


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