CCS Medical

Patient Advocate Representative I

Job Location US-VA-Roanoke
ID
2018-2151
Category
Customer Service/Support
Position Status
Regular Full-Time
Position Schedule
Monday-Friday
Shift
9-6

Overview

Position Summary: Handles all tasks required to maintain patient satisfaction and ensure accurate and timely shipping of reorders. Provides cross-functional support of all business units to maintain up to date documentation and insurance for accurate processing and billing of patient services.

Responsibilities

Essential Duties:

  • Obtains and process authorizations for reorders
  • Resolve patient issues and ensures accurate reorder processing via phone, document processing, medical record validation, CRM research, cross-functional collaboration, etc.
  • Ensures patients have all required medical documentation to permit billing of services as assigned
  • Maximizes patient base through retention efforts and cross-selling via phone
  • Audits configuration of supplies based on supporting documentation, formulary requirements and manufacturer capabilities.
  • Maintains a strong understanding of medical documentation, Insurance requirements and company procedures.
  • Maintains a high degree of confidentiality at all times due to access to sensitive information
  • Maintains regular, predictable, consistent attendance and is flexible to meet the needs of the department
  • Follows all Medicare, Medicaid, HIPAA, and Private Insurance regulations and requirements
  • Abides by all regulations, policies, procedures and standards

Performance Responsibilities:

  • Exercises appropriate cost control measures
  • Maintains positive internal and external customer service relationships
  • Maintains open lines of communication
  • Plans and organizes work effectively and ensures its completion
  • Meets all productivity requirements
  • Demonstrates team behavior and promotes a team-oriented environment
  • Actively participates in Continuous Quality Improvement
  • Represents the organization professionally at all times

Qualifications

Position Requirements & Competencies:

  • Minimum High School diploma or GED equivalenet. One year of customer service experience in a call center preferred.
  • Proficient computer literacy to include strong keyboarding and ability to key data accurately while maintaining strong listening skills.
  • Position may require evening and weekend availability
  • Strong attention to detail, multi-tasking, communication, and organizational skills are essential
  • Exceptional phone and email etiquette

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