Primary responsibilities include 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
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
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
Minimum High School diploma or GED equivalent. 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
Certainty-The lives of the individuals we serve depend on our ability to execute. We commit to doing this every day.
Use appropriate methods and a flexible interpersonal style to help build a cohesive and collaborative team based on a foundation of trust and transparency. Deliver what you commit to.
Compassion-We understand the burdens of patients and their loved ones and channel this into a relentless pursuit of customer satisfaction in every part of our business.
Ensure that the patient is the driving force behind business decisions, implementing service practices that meet needs of both the patient and the organization. Treat other the way you want to be treated.
Advancement-We are endlessly looking for ways to progress and become more innovative in all things we do.
Encourage innovative approaches for addressing opportunities and facilitating change, driving cross-functional alignment to accomplish goals. Speak the truth.
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