RESPONSIBILITIES
- Utilize multiple benefits verification tools using electronic healthcare record systems to locate benefits and run / adjudicate claims.
- Make outbound calls to contact doctor’s offices, insurance, and the patient (customer) to help process the specialty crucial medications to be filled and shipped to arrive on or by the expected dates discussed / needed (medications will be for rare and complex conditions such as cancer, fertility, etc.)
- Complete 80% of cases through back-office work and 20% inbound / outbound calls, back-office work may decrease and inbound / outbound calls may increase to meet the needs of the business
- Effectively handle incoming and outgoing calls to patients, clients, and other customers while proactively gaining patient and order information
- Empathize and converse with patients by building a rapport and discussing therapy changes on targeted medications.
- Navigate through multiple computer applications with speed & accuracy.
- Utilize and understand HIPPAA compliance, as well as ensuring that patients remain adherent to and compliant to their specific therapies.
- Adapt to learn new call types when business needs change & flex support in those areas.
WORK AT HOME REQUIREMENTS :
- High-speed internet with at least 25 mbps download speed (No Satellite, Wi-Fi, or Cellular / Wireless carrier hotspot or internet services)
- Must have a hard-wired internet connection via ethernet cable to modem / router that you own / are responsible for. (Continuum will ship you company equipment such as the PC, mouse, keyboard, etc.
to use on your network)
- Dedicated, quiet, & secured workspace with no distractions
- A USB Wired headset with noise canceling microphone.
ADDITIONAL REQUIREMENTS :
- 18+ Years Old & High School Diploma / GED
- Knowledge with healthcare insurance, requirements for dispensing prescriptions, educating customers, and conducting routine assessment are a plus.
- Professional positive attitude & courteous telephone etiquette
- Customer focused personality & desire to help people
- Full-time schedule availability to meet business needs (may include weekends)
- Willing to submit a drug test and background check
BENEFITS & PERKS :
- $15 per hour
- Benefits Eligible After 60 Days
- Access Up To 50% Of Your Pay Immediately After Your Shift
- Health Insurance (Medical, Dental, Vision) & Other Benefits
- Pet Insurance
- Paid, Virtual Training
- Remote Work Environment
- Opportunity for Professional Development
Employees with six (6) months of service in their current position are eligible to apply for a new position for which they are qualified based on requisite skills, education, experience and current job performance.
Employees with less than six (6) months of service may change positions before the six (6) month period if both the employee’s current manager and the manager of the open position agree and a transition date is agreed upon.
New hire training time is not applied towards the six (6) months service requirement. Additionally, if an employee is currently on any type of performance improvement review, the employee will be considered ineligible for an open position.
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