Job Title: Representative - Customer Service
Location: Cumberland RI, 02864
Duration: 6 months contract
Shift Timing: Monday - Friday 8:30 - 5
Job Description:
Billing Specialist I will be responsible for qualifying, preparing and submitting claims to Copay assistance programs. Individual must work with Omnicare pharmacy operations staff, prescriber offices, third party payers, patients and/or their responsible parties and claim processors. This position requires work within several different operating systems and web based programs to retrieve document images, collect supporting or additional information on fills and work claims through to resolution to ensure compliant, timely and accurate billing practices.
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.
Skills:
Microsoft Word, Excel, PowerPoint, Outlook and good typing skills
Customer support experience needed with medical experience
Education:
High School diploma or GED
Experience:
Knowledge of Medicare, Medicaid, and 3rd party vendors is a plus. 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 successfully 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.