Patient Service Representative

Job Description

Job Description

Description :

We are hiring for Patient Service Representatives for our Virginia Beach location! We are seeking Patient Service Representatives who are empathetic, considerate and responsive individuals to join our innovative team in Virginia Beach, VA.

As a Patient Service Representative you will handle and triage beneficiary calls, perform case intake, staff the Medicare Helpline, explain rights and responsibilities to patients covered by the Medicare program, and inform Medicare beneficiaries, healthcare providers, and others of QIO activities and responsibilities.

This position requires strong computer keyboarding skills with the ability to enter data into systems while speaking on the phone.

Successful candidates must have excellent customer services skills, a great phone voice with ability to articulate clearly, strong writing skills for communications with patients and providers, and demonstrated problem solving abilities.

Schedules will vary and must be able to work weekends & holiday shifts.

Requirements :

• Informs Medicare beneficiaries and other interested parties of their rights and responsibilities as patients covered by the Medicare program.
• Assists with the review process to maintain required timeliness and accuracy as stipulated by the contract and the Quality Improvement Organization (QIO) manual.
• Acts as a neutral liaison for beneficiaries, their families, or their representatives.
• Informs Medicare beneficiaries, healthcare providers, and other partners of the activities and responsibilities of the QIO.
• Develops and maintains positive relationships with external and internal customers.
• Prepares correspondence to physicians, facilities, and other healthcare and community organizations as needed.
• Ascertains the most current and correct contact information, maintains accurate mailing lists, and coordinates mailings.
• Processes and maintains medical records.
• Tracks all telephone calls, essential conversations, and letters mailed to beneficiaries and providers using an electronic web-based application.
• Enters data into software applications timely and accurately.
• Protects the confidentiality of beneficiary information through compliance with the Health Insurance Portability and Accountability Act (HIPAA) and the Health Information Technology for Economic and Clinical Health Act (HITECH).

Qualifications :

• High school diploma or General Education Development (GED).
• Two years customer service experience.
• Must possess excellent oral and written communication skills.
• Must be attentive to detail.
• Familiarity with database software programs (e.g., Microsoft Office).
• Must possess excellent interpersonal and problem-solving skills.
• Ability to exercise sound judgment.
• Ability to organize and coordinate multiple simultaneous tasks in a team environment.
• Ability to collect data and distinguish relevant material.

Desired Characteristics :

This position is ideal for individuals who wish to make a difference! You can be directly responsible for improving the lives and health of one of the most vulnerable groups in our country.

Join our team and make a difference today!