Customer Service Representative

Description

Answer all calls and emails in a timely manner, in adherence to their goals Document all call information according to standard operating procedures Answer questions about products and services, retail stores, general service line information and other information as necessary based on customer call needs Process orders, route calls to appropriate resource, and follow up on customer calls where necessary Review all required documentation to ensure accuracy Accurately process, verify, and/or submit documentation and orders Complete insurance verification to determine patient’s 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 on-going 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.

Skills

Customer service, call center representative, call center, healthcare, insurance, Help desk support, Customer support

Top Skills Details

Customer service,call center representative,call center,healthcare,insurance

Additional Skills & Qualifications

MUST HAVE: 1+ years of customer service experience (retail, restaurant are acceptable) Experience with Microsoft Office BEST: Experience in a health care role Experience taking inbound calls *Have seen success in - Candidates with a background at nursing homes - CNA background, good medical terminology

Experience Level

Entry Level