Customer Service Representative - Remote Texas

TEKsystems•San Antonio, TX

8d•$16 - $16•Remote

About The Position

Answer all calls and emails in a timely manner, in adherence to their goals Document all call information according to standard operating procedures Answer questions about products and services, retail stores, general service line information and other information as necessary based on customer call needs Process orders, route calls to appropriate resource, and follow up on customer calls where necessary Review all required documentation to ensure accuracy Accurately process, verify, and/or submit documentation and orders Complete insurance verification to determine patient’s eligibility, coverage, co-insurances, and deductibles Obtain pre-authorization if required by an insurance carrier and process physician orders to insurance carriers for approval and authorization when required Must be able to navigate through multiple online EMR systems to obtain applicable documentation Enter and review all pertinent information in EMR system including authorizations and expiration dates Communicate with Customer Service and Management on an on-going basis regarding any noticed trends with insurance companies Verify insurance carriers are listed in the company’s database system, if not request the new carrier is entered Responsible for contacting patient when documentation received does not meet payer guidelines to provide updates and offer additional options to facilitate the referral process.

Requirements

1+ years of call center experience
Previous work from home experience
Experience with Microsoft Office

Responsibilities

Answer all calls and emails in a timely manner
Document all call information according to standard operating procedures
Answer questions about products and services, retail stores, general service line information and other information as necessary based on customer call needs
Process orders, route calls to appropriate resource, and follow up on customer calls where necessary
Review all required documentation to ensure accuracy
Accurately process, verify, and/or submit documentation and orders
Complete insurance verification to determine patient’s eligibility, coverage, co-insurances, and deductibles
Obtain pre-authorization if required by an insurance carrier and process physician orders to insurance carriers for approval and authorization when required
Must be able to navigate through multiple online EMR systems to obtain applicable documentation
Enter and review all pertinent information in EMR system including authorizations and expiration dates
Communicate with Customer Service and Management on an on-going basis regarding any noticed trends with insurance companies
Verify insurance carriers are listed in the company’s database system, if not request the new carrier is entered
Responsible for contacting patient when documentation received does not meet payer guidelines to provide updates and offer additional options to facilitate the referral process.