Representative I: PHS/NB Customer Service

US Tech Solutions•Franklin, TN

About The Position

US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. This role focuses on customer service within the PHS/NB sector, involving effective delivery of company products and services, responding to inquiries, processing orders, coordinating services, and ensuring customer satisfaction. The primary responsibilities include verifying insurance coverage for new and existing clients, understanding insurance concepts, and demonstrating excellent customer service to patients, healthcare professionals, and insurance carriers.

Requirements

Understanding of insurance concepts, including drug cards, major medical benefits, and per diem coverage.
Knowledge of government and patient assistance programs.
Strong attention to detail.
Proven analytic and problem solving skills.
Minimum of 1 year experience in a customer service or call center 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.

Nice To Haves

Knowledge of Medicare, Medicaid, and 3rd party vendors is a plus.
Call center type environments preferred.
Experience in a health care setting or insurance industry is a plus, including knowledge of basic insurance and third party terms and medical terminology.

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.
Verify insurance coverage for potential new clients.
Re-verify insurance coverage for existing patients in order to process patient prescription needs successfully.
Demonstrate excellent customer services to patients, healthcare professionals, and insurance carriers.