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Customer Service Representative

Stuart, FL

Order: 174301
TempToFT

Manpower is representing a global client seeking excellent customer service personnel in the Stuart area! Here's your chance to join a team that offers plenty of growth for individuals seeking to excel in their careers!

 

Pay rate: $12.00- $15.00/hr.

Hours: M-F 9:30am- 6:00pm (Should be available on weekends as well)

 

POSITION PURPOSE
To verify new patient insurance coverage and to re-verify existing patient insurance coverage for medical supply eligibility and billing purposes

PRIMARY DUTIES AND RESPONSIBILITIES

  • Verification and documentation of new patient insurance coverage and coordinating costs for supplies in order to communicate to the patient and billing what the patient order cost will be

  • Re-verification of existing patient insurance coverage to ensure that repeat order cost and eligibility is communicated to the patient and the billing department

  • Contact insurance carriers to request any prior authorizations as needed for patients that must seek prior approval before obtaining medical supplies

  • Special verification projects for newly contracted insurance plans and audit of any patients that may be impacted

  • Verification of insurance coverage through HIPAA and regulatory complaint out bound phone calls or via the providers online portal

  • Communication internally with Sales operations or Medical Billing operations of insurance eligibility for each new and existing patient in order to complete the sale or obtain further medical documentation

  • Communication externally with patients to explain information received relative to their insurance benefit and how it relates to their medical supply purchase

  • Develops and maintains knowledge in medical terminology, billing and insurance guidelines

  • Ability to identify and professionally resolve insurance verification related issues

  • Track daily production and submit daily log to direct supervisor.