Call Center Executive

Description

This is a call center role with metrics needed. Call Center experience is preferred. Some medical billing or insurance is very helpful. Paid training is provided. We are looking for people who are seeking long term careers. This is a possible temp to perm role. Good computer skills required with strong Microsoft Office experience. Will be performing alpha and numeric data entry. Candidate should have strong ability to retain verbal information and strong verbal communication skills.

Position Purpose

To verify new patient insurance coverage and to re-verify existing patient insurance coverage for medical supply eligibility and billing purposes

Primary Duties And Responsibilities

• Verification and documentation of new patient insurance coverage and coordinating costs for supplies in order to communicate to the patient and billing what the patient order cost will be
• Re-verification of existing patient insurance coverage to ensure that repeat order cost and eligibility is communicated to the patient and the billing department
• Contact insurance carriers to request any prior authorizations as needed for patients that must seek prior approval before obtaining medical supplies
• Special verification projects for newly contracted insurance plans and audit of any patients that may be impacted
• Communication internally with Sales operations or Medical Billing operations of insurance eligibility for each new and existing patient in order to complete the sale or obtain further medical documentation
• Communication externally with patients to explain information received relative to their insurance benefit and how it relates to their medical supply purchase
• Develops and maintains knowledge in medical terminology, billing and insurance guidelines
• Able to identify and professionally resolve insurance verification related issues
• Track daily production and submit daily log to direct supervisor

Ancillary Duties And Responsibilities

• Maintain a positive work atmosphere that embodies Liberator’s philosophy- Professional excellence, teamwork and integrity
• Performs other duties and tasks as assigned

Reporting Relationship

• Responsibilities No supervisory responsibilities
• Provides work direction only
• Provides work direction plus has responsibility for hiring, promotions, transfers, performance management, discipline, and discharge

Minimum Requirements Or Qualifications

• To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Education/Experience
• High School Diploma or general education degree (GED); one to two years related experience and/or training; or equivalent combination of education and experience.

Skills

• Language: Ability to read, analyze, and interpret medical supply publications, technical procedures, and/or training tools.
• Ability to write internal and external business correspondence.
• Ability to effectively present information and respond to questions from management, team members, and/or customers.
• Math Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, and percentages.
• Ability to apply intermediate math skills.
• Reasoning Ability to solve practical problems and deal with a variety of variables.
• Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
• Advanced analytical reasoning to include ability to forecast exponentials within work flow processes and reason against outside factors.
• Computer Knowledge of Microsoft Office Applications, Access or other database software
• Telecommunications: ability to utilize or knowledge of call center telecommunications software

Production/Quality Metrics

• Demonstrate ability to produce one (1) completed insurance verification every 9-11 minutes on average, with an error rate of 3.5% or less each calendar quarter.

Work Requirements

• Ability to work some evening shifts, weekends, and overtime as needed

Physical Demands

• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Work Environment

• The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.