NEW JOB OPENING
HEALTHCARE CONSULTANT: PHS NB CUSTOMER SERVICE
IN Franklin, TN, USA!

• **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.**

Description:
• The primary responsibilities are to verify insurance coverage for potential and new clients. Additionally, this person will re-verify insurance coverage for existing patients to answer questions about benefits, coverage, billing and payments.
• Effective delivery of company products and services
• Responds to telephone inquiries from new policyholders, tenured policyholders, agents and their representatives
• Provides information coverage and benefits, billing and payments and field general questions. Determines the best method for providing services.
• Verifies insurance and/or payments
• May perform data entry.
• May assist with the processing of billing paperwork.
• Accurately maintains files of all patient account profile information and referral source data.
• Resolves patient complaints by identifying the root cause of opportunities and coordinating appropriate corrective action.

Experience
• Knowledge of Medicare and 3rd party vendors is a plus.
• Ability to demonstrate excellent customer services to members, agents and their representatives.
• Must demonstrate strong attention to detail and proven analytic and problem solving.
• This role will require an understanding of insurance concepts, including governmental plans, ancillary plan benefits, and other coverages.
• 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.
• 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.

Position Summary
• The primary responsibilities are to verify insurance coverage for potential and new clients. Additionally, this person will re-verify insurance coverage for existing patients to answer questions about benefits, coverage, billing and payments.
• Effective delivery of company products and services
• Responds to telephone inquiries from new policyholders, tenured policyholders, agents and their representatives
• Provides information coverage and benefits, billing and payments and field general questions.
• Determines the best method for providing services.
• Verifies insurance and/or payments
• May perform data entry.
• May assist with the processing of billing paperwork.
• Accurately maintains files of all patient account profile information and referral source data.
• Resolves patient complaints by identifying the root cause of opportunities and coordinating appropriate corrective action.
• Knowledge of Medicare and 3rd party vendors is a plus.
• Ability to demonstrate excellent customer services to members, agents and their representatives.
• Must demonstrate strong attention to detail and proven analytic and problem solving.
• This role will require an understanding of insurance concepts, including governmental plans, ancillary plan benefits, and other coverages.
• 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.
• 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.
• This position is a work in office opportunity. A candidate must be willing to work in office and have reliable transportation to and from our office located in Franklin, TN.

Education
• High School diploma or GED