Representative II, Customer Service - Insurance Verification

Cardinal Health

1d•$16 - $19

About The Position

What Customer Service Operations contributes to Cardinal Health Customer Service is responsible for establishing, maintaining and enhancing customer business through contract administration, customer orders, and problem resolution. Customer Service Operations is responsible for providing outsourced services to customers relating to medical billing, medical reimbursement, and/or other services by acting as a liaison in problem-solving, research and problem/dispute resolution

Requirements

1-3 years of experience, preferred
High School Diploma, GED or equivalent work experience, preferred
Applies acquired job skills and company policies and procedures to complete standard tasks
Works on routine assignments that require basic problem resolution
Refers to policies and past practices for guidance
Receives general direction on standard work; receives detailed instruction on new assignments
Consults with supervisor or senior peers on complex and unusual problems
Effective interpersonal skills
Clear diction and knowledge of the English language, both written and verbal
Self-directed accountability and reliability
Cultural competence

Responsibilities

Conducts outbound calls to insurance companies and determines if patient will be serviced thru DME or pharmacy.
Ensures patient primary insurance is accurate and entered in the appropriate system.
Verifies insurance.
Handles all inbound calls from patients and insurance companies regarding any payments made from the insurance company.
Resolves all denials and processes appeals for all private insurances and some Medicare patients.
Submits all required documentation to appropriate insurance providers.
Bills orders corresponding to a denial or change to a patients’ accounts.
Contacts patients if additional insurance information is needed.
Achieves maximum reimbursement for services provided.
Rebills claims to insurance companies via paper or electronically.
Contacts insurance companies to obtain claim status.
Complies with HIPAA rules, appropriately safeguarding PHI or other private & confidential information.
Maintains accurate and detailed notes in the company system.
Adapts quickly to frequent process changes and improvements.
Is reliable, engaged, and provides feedback as to improve processes and policies.
Attends all department, team, and company meetings as required.
Appropriately routes incoming calls when necessary.
Meets patient service quality standards
Service-orientation and aptitude to resolve insurance and/or patient matters