Customer Care Representative III
Diabetes Youth Families
full-time
Posted on:
Location Type: Remote
Location: Germany
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About the role
- Process all aspects of the order process by verifying insurance benefits to determine eligibility and cost share amounts , reimbursement by contacting payors, verifying insurance benefits and adhering to medical guidelines for reimbursement.
- Serving as a department expert on escalation calls/tasks, Insulet insurance contracts, channeling and processing requirements for all covered products.
- Requesting and collecting updated documentation, order entry and coordinating shipment of product to customers.
- Must maintain a thorough understanding of products offered by Insulet with the ability to explain to potential or existing customers the basic operation and use.
- Answering phone inquiries and providing support and direction to customers and resolving customer service issues in a timely and empathetic manner.
- Submission of all prior authorization requests for approval and payment of Insulet products at time of claim processing.
- Calculate and document cost share amounts for potential customers.
- Collaborate with other commercial teams such as Case Management, OmniPod Sales and Billing, to ensure proactive communication of potential customer’s order status.
- Document all interactions and calls into the customer database and maintain compliance to HIPAA and other regulating bodies as required.
- Provide frequent feedback and suggestions to support an environment of continuous process improvement.
- Using their advanced knowledge and skill set, this position could be called upon to complete a wide range of task within the Reimbursement team.
- Performs other duties as assigned.
Requirements
- Associates/Bachelor’s Degree and/or equivalent combination of education and experience preferred not essential
- Relevant experience in a professional working environment, preferably with extensive phone coverage and medical device or health care oriented.
- Individual health plan insurance knowledge and understanding of the managed care industry is required.
- Knowledge of diabetes and experience supporting patients with diabetes is preferred.
- Experience with Salesforce CRM (preferred).
Benefits
- Health insurance
- 401(k)
- Paid time off
- Flexible working arrangements
- Professional development opportunities
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
order processinginsurance verificationcost share calculationprior authorizationdocumentation managementcustomer supportprocess improvementmedical guidelines adherencereimbursement knowledgeproduct knowledge
Soft Skills
communicationempathycollaborationproblem-solvingcustomer servicefeedback provisionorganizational skillsattention to detailtimelinessadaptability