Healthcare customer service representative

  • Sector: MRS Pharmacy
  • Contact: Will Taylor
  • Client: Medical Recruitment Strategies
  • Location: Poway, United States of America
  • Salary: Negotiable
  • Expiry Date: 22 May 2022
  • Job Ref: BBBH374549_1649337094
  • Contact Email: wtaylor@medicalrecruitmentstrategies.com

Duties
Knowledge of Medicaid, and 3rd party vendors is a plus. 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 successfully 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
* Minimum of 1 year 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 knowledge up to intermediate level in Microsoft Outlook, Word and Excel is preferable. * Basic alpha number data entry skills with attention to accuracy and quality is essential. * 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.
Position Summary
Tasks for Customer Service Rep can differ per location: Effective delivery of company products and services (40%) * 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. Timely processing/facilitation of patient orders (30%) * 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 * May perform data entry.
Effective coordination of patient services/supplies (10%) * 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 (10%) * Accurately maintains files of all patient account profile information and referral source data. Customer satisfaction (10%) * Resolves patient complaints by identifying problems and coordinating appropriate corrective action.
Education
High School diploma or GED
What days & hours will the person work in this position? List training hours, if different.
8:30 - 5:00