NEW JOB OPENING
HEALTHCARE CUSTOMER SERVICE REPRESENTATIVE
IN Cumberland, RI, USA!

Required Education

• High School Diploma



Required Experience

• Minimum 1 year of experience in a customer service or call center environment, preferably in a call center setting

• Effective and empathetic communication skills for managing inbound calls and communications with clients and team members

• Computer experience with proficiency in Microsoft Outlook, Word, and Excel

• Basic alphanumeric data entry skills with strong attention to accuracy and quality



Preferred Experience

• Experience in a healthcare setting or insurance industry

• Knowledge of basic insurance and third-party terms and medical terminology

• Knowledge of Medicare, Medicaid, and third-party vendors



Customer Service Representative Overview

• Verify insurance coverage for potential new clients and re-verify coverage for existing patients to support the successful processing of patient prescription needs

• Provide excellent customer service to patients, healthcare professionals, insurance carriers, and referral sources

• Respond to telephone inquiries and orders from homecare patients and referral sources while providing information on equipment, supplies, and services

• Process telephone orders, prepare patient paperwork, verify insurance or other payment methods, and complete required documentation accurately and efficiently

• Coordinate patient services, including delivery, setup, and pickup of equipment, supplies, and services

• Maintain accurate patient account profiles and referral source information while supporting data entry and billing processes

• Resolve patient complaints by identifying problems and coordinating appropriate corrective action

• Demonstrate strong attention to detail, analytical skills, problem-solving abilities, and effective communication while managing individual performance goals and competing priorities



Job Duties

• Respond to telephone inquiries and orders from homecare patients and referral sources

• Provide information on equipment, supplies, and services

• Assist walk-in patients with the selection of equipment, supplies, and services, as applicable

• Process telephone orders by preparing patient paperwork

• Verify insurance and/or other methods of payment

• Complete all necessary paperwork accurately and efficiently to facilitate data entry, accounts receivable, and delivery of orders

• Perform data entry, as applicable

• Distribute copies of paperwork to appropriate personnel

• Assist with processing billing paperwork, as applicable

• Coordinate delivery, setup, and pickup of equipment, supplies, and services with appropriate personnel

• Accurately maintain files of patient account profile information and referral source data

• Resolve patient complaints by identifying problems and coordinating appropriate corrective action

• Verify insurance coverage for potential new clients

• Re-verify insurance coverage for existing patients

• Demonstrate an understanding of insurance concepts, including drug cards, major medical benefits, and per diem coverage

• Demonstrate knowledge of government and patient assistance programs

• **Only those lawfully authorized to work in the designated country associated with the position will be considered.**

• **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements.**