Service the needs of customers by accurately verifying insurance coverage
Perform administrative activities associated with maintenance of medical documentation and medical records
Answer questions from customers, clerical staff, insurance companies and physician offices
Make outbound calls to obtain appropriate documentation for reimbursement of orders shipped
Utilize resources to identify and resolve customer issues or reimbursement discrepancies
Verify customer benefits via phone, fax, and web portal
Submit authorizations or pre-certification requests to multi-state payers
Communicate effectively and professionally with customers, teammates, healthcare professionals, and sales team
Review and approve documentation received by third parties for submission to payors for reimbursement
Document activities in ERP system in an accurate and timely manner
Consistently meet and attain required Key Performance Indicators (KPIs)
Requirements
High School Diploma or equivalent required
1-2 years of customer service experience required
Relative reimbursement and/or billing and collections experience preferred
Excellent written and verbal communication skills
Working knowledge of MS Office and the ability to navigate multiple platforms
Strong analytical and time management skills
Familiar with medical terminology and insurances HCPCS/ICD-10 codes
Ability to read, understand and follow oral and written instructions and guidelines
Ability to triage priorities and meet daily and weekly deadlines
Benefits
Medical, dental, and vision insurance, available on first working day
401(k), eligibility after one year of service
Employee stock purchase plan
Tuition reimbursement
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
medical documentationmedical records maintenancereimbursement processinginsurance verificationauthorizationspre-certification requestsbilling and collectionsHCPCS codesICD-10 codesKey Performance Indicators (KPIs)
Soft skills
customer servicecommunication skillsanalytical skillstime managementproblem-solvingattention to detailorganizational skillsteamworkprioritizationadaptability