Customer Service Representative (Healthcare Account)

JOB DUTIES AND RESPONSIBILITIES:

• Contact insurance companies to verify coverage status of patient benefits.
• Files pre-authorizations for patients with insurance companies and provide follow up as needed.
• Process supply orders.
• Maintains accurate patient information in relevant client data management systems.
• Provides patients with information regarding their order status, which may include: developing financial breakdowns for the patient, giving the patient estimates of costs and collecting payments for co-pays for supply orders, if applicable.
• Gathers all necessary additional medical records as requested by insurance companies.
• Applies knowledge of company processes and procedures to respond to incoming communication from insurance companies, patients and internal departments.
• Performs other related duties as assigned.

JOB REQUIREMENTS:

Education:

• Completed at least 2 years in College or with an Associate or Bachelor’s Degree.

Work experience required:

• Prior medical insurance authorization experience preferred.
• One to two years data processing experience preferred.
• One to two years customer service or provider relations experience preferred.
• Associate degree or equivalent with a minimum of three years relevant working experience.

Technical/Functional skills:

• Basic Excel, Word and Outlook experience required.
• Demonstrates proficiency and accuracy using Alere Home Monitoring data management systems which are directly related to the specific job function.
• Strong Computer/Software Skills.

Behavioral preferences/Soft skills:

• Position requires heavy telephone contact with program providers and participants (up to 90%).
• Excellent interpersonal and phone etiquette skills.
• Ability to provide superior customer service and meet customer satisfaction expectations.
• Detail & Team Oriented
• Communication & Writing Skills
• Organization/Time Management Skills
• Human Relation Skills
• Excellent oral and written communication skills.
• Detail oriented with a focus on exceptional customer service.
• Excellent PC skills and organizational skills.