Customer Service Representative

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
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

Verify insurance coverage for potential and new clients
Re-verify insurance coverage for existing patients to answer questions about benefits, coverage, billing and payments
Responds to telephone inquiries from new policyholders, tenured policyholders, agents and their representatives
Assists with registering or resetting passwords and online registration
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
Experience in a health care setting or insurance industry is a plus, including knowledge of basic insurance and third-party terms and medical terminology