CCS Medical

  • Insurance Verification Representative

    Job Location US-FL-Clearwater
    ID
    2018-2200
    Category
    Administrative/Clerical
    Position Status
    Regular Full-Time
    Position Schedule
    Monday-Friday
    Shift
    9:30-6:30
    Alternative Schedule
    2 late nights per month (up to 8:00 PM)
  • Overview

    Responsible for verification of insurance and initial contact for all new referrals.

    Responsibilities

    • Performs initial intake and processing of all referral paperwork for potential insulin pump patients, including: outbound calls to potential patients, verification of insurance, and patient contact
    • Assigns patients to the proper region for processing
    • Assists with distribution of incoming faxes
    • Maintains accurate patient records in PIMS, including entering initial patient information and complete verification notes
    • Coordinates with pump specialists to obtain status updates for manufacturers
    • Verifies insurance to determine eligibility for company program
    • Initiates contact with patients to introduce and explain company program to patient
    • Contacts Medicare, commercial insurance,  and other government agencies to determine eligibility for company program
    • Updates work flow for reporting

    Qualifications

    • High School diploma or GED equivalent and 1+  years related experience with a minimum of one year CCS Medical experience or equivalent combination of education and/or experience.
    • Ability to read and comprehend simple instructions, short correspondence, and memos; ability to write simple correspondence
    • Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization
    • Ability to add, subtract, multiply and divide all units of measure, using whole numbers, common fractions and decimals; ability to compute rate, ratio and percent and to draw and interpret bar graphs
    • Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form; ability to deal with problems involving several concrete variables in standardized situations

    Equal Opportunity Employer/Veterans/Disabled

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