Representative

Buffalo Grove, IL

Post Date: 07/10/2017 Job ID: 22681 Category: Pharmacy

Shift:
  • Starts after 10am and could include a Saturday.

Training:
  • 8am-4: 30pm for 2 weeks.

Job Description:
  • 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.

Responsibilities:
  • Effective delivery of company products and services.
  • 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.
  • 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.
  • 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.
  • Accurately maintains files of all patient account profile information and referral source data.
  • Customer satisfaction.
  • Resolves patient complaints by identifying problems and coordinating appropriate corrective action.

Experience:
  • Minimum of 1 year in a customer service or call center environment (call center type environments preferred, if doctor s office then anything below managing 75 calls/day would not translate to similar environment).
  • Must have effective and empathetic communication style in managing inbound calls and communications with clients and team members.
  • Computer experience is required with proficiency in Microsoft Outlook, Word and Excel.
  • Basic alpha number data entry skills with attention to accuracy and quality is essential.
  • Intermediate math skills are required with attention to detail and quality essential.
  • Experience in a health care setting or insurance industry is a plus, including knowledge of basic insurance and third party terms and medical terminology.

Qualifications:
  • Knowledge of Medicare, Medicaid, and 3rd party vendors is a plus.
  • Ability to work with people in a team environment while meeting individual performance goals.
  • Must be able to read and interpret policies, procedures and instructions.
  • Effective organizational skills and ability to prioritize a fluctuating workload and competing priorities is essential.

Education:
  • High School diploma or GED.

A-Line Staffing Solutions

877-782-3334

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