Patient Service Representative II
Posting ID: JP-002661331
These individuals will be handling the calls and interactions with insurance company representatives and patients. Employee will be making outbound calls to Medicare, major medical health insurance representatives, and pharmacy benefit managers. They will verify insurance coverage, assist with prior authorization, benefit verification, order prescription refills, and more. They will contact the insurance payers, verify patients' insurance benefits, run test claims for the medications, confirm that claims are payable, and complete benefit letters to go out to patients. They will also assist with issues related to payments, reimbursements, payment denials, and appeals.
Provide dedicated, personalized support via phone and online portal. Complete investigations and answer questions regarding insurance benefits. Questions could include insurance coverage, out-of-pocket costs, enrollment, reimbursement, state and federal assistance programs, and more. Individual will assist with prior authorization and insurance verification. Enter orders, change orders, track shipments, and enter customer notes to transactions. Process patient assistance applications. Maintain logs and records.
prior authorization, customer service, insurance verification, health insurance, benefit verification, reimbursement, insurance, customer service skills, coordination of benefits, patient service, insurance coverage, insurance companies, Insurance eligibility, health care, medical, call center, health insurance claims, insurance claim, data entry, claim, patient information, pharmacy, input data, Medicare, patient records, customer service oriented, medical terminology, medical insurance, medical record, inbound call, detail, eligibility verification, Medicare claims, medical claim
Top Skills Details:
prior authorization, customer service, insurance verification, health insurance, benefit verification, reimbursement, insurance, customer service skills, coordination of benefits, patient service, insurance coverage, insurance companies
About Aston Carter:
At Aston Carter, we’re dedicated to expanding career opportunities for the skilled professionals who power our business. Our success is driven by the talented, motivated people who join our team across a range of positions – from recruiting, sales and delivery to corporate roles. As part of our team, employees have the opportunity for long-term career success, where hard work is rewarded and the potential for growth is limitless.
Established in 1997, Aston Carter is a leading staffing and consulting firm, providing high-caliber talent and premium services to more than 7,000 companies across North America. Spanning four continents and more than 200 offices, we extend our clients’ capabilities by seeking solvers and delivering solutions to address today’s workforce challenges. For organizations looking for innovative solutions shaped by critical-thinking professionals, visit AstonCarter.com. Aston Carter is a company within Allegis Group, a global leader in talent solutions.
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.
If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please call 888-237-6835 or email firstname.lastname@example.org for other accommodation options. However, if you have questions about this position, please contact the Recruiter located at the bottom of the job posting. The Recruiter is the sole point of contact for questions about this position.
Recruiter: Austin Werner