Job Description

Job Description

Job Description

A-Line Staffing is actively searching for Benefits Verification reps for a major healthcare company located in Cary, NC. This is an exciting opportunity with a client that is looking to move fast for the right candidate. Please contact Brad Zidek at bzidek@alinestaffing.com for immediate consideration! Or call at 412-823-2500.

Job Description:

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.

Experience:

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 successly 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. 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). Experience in a health care setting or insurance industry is a plus, including knowledge of basic insurance and third party terms and medical terminology.

Please contact Brad Zidek at bzidek@alinestaffing.com for immediate consideration! Or call at 412-823-2500.

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