Patient Advocate Representative - OU

CCS Medical•Clearwater, FL

1d•Hybrid

About The Position

Are you looking for a purposeful career that will make a difference in the patient community? At CCS, our approach to at-home patient care is redefining chronic care management. We are seeking individuals that will thrive in a patient-centric dynamic environment. If you are an attentive listener, fast-thinker, and problem-solver, with the ability to relate to different people, you are a match for CCS. As a Call Center Patient Advocate Representative I, you’ll handle all tasks required to maintain patient satisfaction and ensure accurate and timely shipping of reorders. Provides cross-functional support of all business units to maintain up to date documentation and insurance for accurate processing and billing of patient services. CCS is the strategic partner addressing America's most pressing healthcare challenges through intelligent chronic care management, tackling the $412 billion annual diabetes burden and chronic conditions affecting over 133 million Americans. At the core of CCS's differentiated model is LivingConnected®, a human-led, digitally-enabled clinical solution. PropheSee™—an AI-powered predictive model that identifies non-adherence risk and delivers personalized interventions— is an integral part of this solution, creating a first-of-its-kind platform to improve adherence, enhance clinical outcomes, and help prevent costly hospitalizations. By combining data-driven insights with three decades of industry relationships, CCS is the smart choice for health plans, providers, employers, and manufacturers who believe that value-based care starts by keeping patients healthy and delivers benefits like lower cost of care, improved HEDIS scores, and alleviating provider burnout. CCS's approach extends clinical reach while supporting over 200,000 people nationwide with home-delivered medical supplies and pharmaceuticals annually. Recognized as a Great Place to Work®, and with numerous peer-reviewed publications validating our care management approach, CCS is more than a trusted supplier—we're a partner in transforming chronic care delivery. To learn more about how CCS is addressing today's healthcare challenges, visit ccsmed.com or connect with us on LinkedIn.

Requirements

Minimum High School diploma or GED equivalent.
Proficient computer literacy to include strong keyboarding and ability to key data accurately while maintaining strong listening skills.
Strong attention to detail, multi-tasking, communication, and organizational skills are essential

Nice To Haves

One year of customer service experience in a call center preferred.

Responsibilities

Obtains and process authorizations for reorders
Resolve patient issues and ensures accurate reorder processing via phone, document processing, medical record validation, CRM research, cross-functional collaboration, etc.
Ensures patients have all required medical documentation to permit billing of services as assigned
Maximizes patient base through retention efforts and cross-selling via phone
Audits configuration of supplies based on supporting documentation, formulary requirements and manufacturer capabilities.
Maintains a strong understanding of medical documentation, Insurance requirements and company procedures.
Maintains a high degree of confidentiality at all times due to access to sensitive information
Maintains regular, predictable, consistent attendance and is flexible to meet the needs of the department
Follows all Medicare, Medicaid, HIPAA, and Private Insurance regulations and requirements
Abides by all regulations, policies, procedures and standards