Job Details

Representatives will require the ability to multi-task and utilize multiple computer applications to access and enter data in member accounts.  Representatives will also be required to conduct themselves in a HIPAA compliant and ethical manner.  Duties include, but are not limited to: Incoming and outgoing calls, new account creation, insurance verification, document processing, order set up and management.  Representatives will be required to communicate professionally with members, caregivers, guardians, medical professionals, and co-workers.  

Benefits:

• Paid training!
• Health, dental & optical after 30 days
• Monday - Friday 8:30 am - 5:00 pm
• Holiday pay & PTO after 90 days
• & much, much more! 

Essential Functions: 

• Handle a variety of incoming and outgoing calls using the regarding new and/or existing members/caregivers needs
• Ability to utilize multitask using multiple computer applications/programs
• Creation of new member accounts 
• Review/Update all demographic and personal health information in the member’s account, including but not limited to the following: address – both mailing and shipping if different, phone number(s), e-mail address(es), physician information, caregiver(s), etc.
• Access and enter data in existing patient accounts following HIPAA guidelines.
• Insurance verification following established verification processes.
• Speaks with members, caregivers, doctors, and other outside providers to regarding member account and product needs.
• Document all interactions in patient medical records for proper record keeping (account notes).
• Documentation creation and follow-up to ensure necessary documentation on file to ship supplies per Insurance guidelines (Advanced beneficiary Notification, Certificate of Medical necessity, Prescriptions, Letter of Medical Necessity, etc).
• Fax and review incoming documentation as needed
• Communication with patient or caregiver to keep up to date on account statuses
• Liaise with Team Support or Team Lead as needed for all important matters that require supervisor approval or intervention.
• Build proficiency and strong knowledge base on all product lines serviced.
• Makes suggestions for process improvements and assists with projects as able.
• Submit reports and productivity tracking to leaders as requested.
• Track attendance and submit all applicable requests using the Attendance on Demand system.
• Follow established building entry, compliance and system security policies. 
• Adhere to all Nondiscrimination and Accessibility guidelines.

 Position Type: 

This is an hourly position in office position, business hours, M-F. Occasional OT, early mornings, evening, and weekend work may be required as workload demands.  

 Preferred Education and Experience: 

• 2+ years of experience in a fast-paced customer service role requiring the ability to handle multiple tasks at various stages of completion. (Food Service/Retail)
• Previous experience requiring clear and calm communication by phone.  
• Previous experience requiring the ability to effectively use computer system and maintain good records.