Customer Service Representative
This employee serves as the subject matter expert in all Customer Service responsibilities, primarily responsible for accurately, thoroughly, and in a time-sensitive manner, processing patient orders and providing clear and timely communication to all stakeholders.
- Responds to telephone inquiries and orders from patients and referral sources
- May assist walk-in patients with the selection of equipment, supplies, and services
- Determines resolution of patient and referral inquiries, questions, or concerns
Identifies concerns and ensures they are recorded in Concern Tracker system when appropriate
Completes electronic intake process in billing system, performs verification of insurance, and reviews all documentation for accuracy in order to qualify patient for servicesContacts patients to inform them of any patient payment requirements, collects payment, and determines best delivery method, providing instructions for receiving deliveryUnderstands and abides by Accreditation Commission for Health Care (ACHC) requirementsMay need to understand and interpret Medicare guidelines and qualifying documentationThoroughly understands payer and utilization guidelinesMay process insurance authorization and follow up on requests as neededEstablishes positive relationships with referral sources and builds rapport with internal and external customersMay be required to perform quality assurance process, confirming accuracy of orders prior to submission for reimbursementUnderstands C-PAP compliance guidelines as required by assignment, or has obtained knowledge of rehab specialty equipment and coverage criteriaConsistently meets Quality Assurance score of 85% or above