Representative I - RX Comm

UPDATE: Full Time 8:30 am - 5 pm Monday to Friday

Max Client bill rate ***

Remind all candidates while screening that the job is ONSITE. - 5 days a week onsite M-F
** no traveling is required for this role

Call center environment but they will not be taking any calls for this assignment; it is more of a support role.

Prescreen- Please have the following on the top of each resume.
- Understands the job is on site. Cumberland RI
- Has reliable transportation
- Add their location to top of resume

Experience:
Support for Client.com / RX Records responsible for providing concise patient and prescription information in accordance with HIPAA.

Description:
REMINDER: the position is onsite and needs to be local.
The position requires the candidates in office and will need to be local.

* Data entry; accounting and disclosure application (internal system) - candidate will trained on the internal system, hands on training
* Opening mail
* Organizing correspondents
* Entering receipts into systems
* No customer contact
* Should have good data entry skills
* Able to work independently with little supervision
* Able to multi-task

Safety Sensitive

Position Summary:

Tasks for Customer Service Rep can differ per location: Effective delivery of company products and services (40%) * 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 (30%) * 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 (10%) * 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 (10%) * Accurately maintains files of all patient account profile information and referral source data. Customer satisfaction (10%) * Resolves patient complaints by identifying problems and coordinating appropriate corrective action.

Duties:

Knowledge of Medicare, Medicaid, and 3rd party vendors is a plus. The primary responsibilities are to verify insurance coverage for potential new clients. Additionally, this person will re-verify insurance coverage for existing patients in order to process patient prescription needs successly and demonstrate excellent customer services to patients, healthcare professionals, and insurance carriers. This role will require an understanding of insurance concepts, including drug cards, major medical benefits, and per diem coverage, as well as knowledge of government and patient assistance programs. Strong attention to detail, and proven analytic and problem solving.

Experience:

* Minimum of 1 year in a customer service or call center environment (call center type environments preferred, if doctors 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. * Experience in a health care setting or insurance industry is a plus, including knowledge of basic insurance and third party terms and medical terminology. * 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.

Education:

High School diploma or GED