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Benefits Verification/Medical Customer Service Rep
Hours: 8 hour shift between 7:30am and 7:30pm, Monday through Friday
Location: Mount Prospect, IL, 60056
The primary responsibilities are to verify insurance coverage for potential new patients and re-verify insurance coverage for existing patients in order to process patient prescription needs successfully and demonstrate excellent customer service to patients, healthcare professionals and insurance carriers.
6 months in benefits verification or patient service representative role.
1+ years experience in a Windows based computer system
- Excellent customer service skills.
- Attention to detail.
- Knowledge of government and patient assistance programs.
- Understanding of insurance concepts including drug cards, major medical benefits, and per diem coverage.
- Analytic and problem solving skills.
Experience performing insurance verification.
Experience working with medical insurance programs or medical billing procedures
Qualifications: Qualification Rating
Position Summary: Tasks for Customer Service Rep can differ per location: Effective delivery of company products and services (40%) * Responds to telephone inquiries and orders from homecare patients and referral sources. * Provides information on equipment, supplies and services. Determines the best method for providing services. * May assist walk-in patients with the selection of equipment, supplies and services. Timely processing/facilitation of patient orders (30%) * Processes telephone orders by preparing patient paperwork. * Verifies insurance and/or other method of payment. * Completes all necessary paperwork in an accurate and efficient manner to facilitate the data entry, accounts receivable and delivery of the order placed. * May perform data entry. * Distributes copies of paperwork to appropriate personnel. * May assist with the processing of billing paperwork. Effective coordination of patient services/supplies (10%) * Coordinates the delivery, set-up and pick-up of equipment, supplies and services with appropriate personnel. * Ensures deliveries and set-ups can be arranged in a timely manner. Appropriate documentation (10%) * Accurately maintains files of all patient account profile information and referral source data. Customer satisfaction (10%) * Resolves patient complaints by identifying problems and coordinating appropriate corrective action.
Duties: Knowledge of Medicare, Medicaid, and 3rd party vendors is a plus. The primary responsibilities are to verify insurance coverage for potential new clients. Additionally, this person will re-verify insurance coverage for existing patients in order to process patient prescription needs successfully and demonstrate excellent customer services to patients, healthcare professionals, and insurance carriers. This role will require an understanding of insurance concepts, including drug cards, major medical benefits, and per diem coverage, as well as knowledge of government and patient assistance programs. Strong attention to detail, and proven analytic and problem solving.
Experience: * Minimum of 1 year in a customer service or call center environment (call center type environments preferred, if doctors office then anything below managing 75 calls/day would not translate to similar environment). * Must have effective and empathetic communication style in managing inbound calls and communications with clients and team members. * Computer experience is required with proficiency in Microsoft Outlook, Word and Excel. * Basic alpha number data entry skills with attention to accuracy and quality is essential. * Intermediate math skills are required with attention to detail and quality essential. * Experience in a health care setting or insurance industry is a plus, including knowledge of basic insurance and third party terms and medical terminology. * Ability to work with people in a team environment while meeting individual performance goals. * Must be able to read and interpret policies, procedures and instructions. * Effective organizational skills and ability to prioritize a fluctuating workload and competing priorities is essential.
Apex is an Equal Employment Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by law. Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law. If you have visited our website in search of information on employment opportunities or to apply for a position, and you require an accommodation in using our website for a search or application, please contact our Employee Services Department at 844-463-6178