Patient Services Representative - Memphis, TN
About the role
For more than 20 years, BioTAB Healthcare, LLC has supported patients with lymphatic, wound, and circulatory disorders through proven treatment solutions. Headquartered in Missouri, we provide pneumatic compression devices and personalized service to help improve patient outcomes and quality of life. As a family-owned company, we take pride in delivering expert care with a personal touch service. The Patient Services Representative position puts the Patient First in every interaction. This role will process clinical paperwork from our sales team, review coverage requirements under private health insurance, CMS and research patient benefits to obtain product approvals in order to process the patient’s orders. This role will interface with patients, sales, sales leadership, clinicians and our internal teams on a daily basis, and will include both incoming and outgoing calls, emails, CRM and Provider systems, fax, email and Vendor portals. Reps will handle all documentation requirements for patient charting, shipping and cost to make the patient experience as smooth as possible. This role, reporting to the team’s Managers and Directors, will require an exceptional level of detail, customer service acumen and an emphasis on process execution and quality control.
Responsibilities
- Call clinics / patients to discuss cases, documentation
- Process cases timely, in line with departmental-determined metrics per month
- Complete case tasks
- Cover pre-authorizations, research coverage and enter notes
- Review order criteria, SWO and identify requirement failures
- Match insurance, review coverage and discuss with patients
- Review notes, update the CRM against case requirements
- Participate in designated departmental training sessions
- Participate in a one-hour per month Scribe or Google Meet session, to be completed during regular work hours
- Patient Intake: Receiving and processing new patient referrals, gathering necessary demographic, medical, and insurance information. This will require outbound and inbound professional communications, interface with BPO partners and quality control measures.