Call Center Representative - Urgent Need

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
• Verification of insurance coverage through HIPAA and regulatory complaint out bound phone calls or via the providers online portal
• 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

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
• Licensure or Certifications required:
• No certifications required
• 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.
• While performing the duties of this job, the employee performs tasks in a temperature controlled office environment under normal office conditions.
• The noise level in the work environment is usually moderate.
• The work environment involves minimal exposure to hazards or physical risks, which require following basic safety precautions.

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.
• While performing the duties of this position, the employee performs tasks in a temperature controlled office environment under normal office conditions.
• The noise level in the work environment is usually moderate.
• The work environment involves minimal exposure to hazards or physical risks, which require following basic safety precautions.

Disclaimer

• The above job description is meant to describe the general nature and level of work being performed; it is not intended to be an exhaustive list of all responsibilities, duties, and skills required for this position.
• The Company officers, mid-level, and entry level management staff may assign additional duties and responsibilities as needed.
• This job description in no way states or implies that these are the only duties to be performed by the employee occupying this position.
• Employees will be required to follow any other job-related duties requested by their supervisor in compliance with Federal and State Laws.