Full Time | IT Outsourcing & Consulting2 Months Ago
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millenniumsoft is Hiring a Call Center Representative - Urgent Need Near Stuart, FL
Position : Call Center Representative - Urgent NeedLocation : Stuart, FLDuration : 12 Months ContractStart Time : 9:30 AMEnd Time : 6:00 PMTotal Hours/week :40.00Description
This is a call center role with metrics needed. Call Center experience is preferred.
Some medical billing or insurance is very helpful.
Paid training is provided. We are looking for people who are seeking long term careers.
This is a possible temp to perm role.
Good computer skills required with strong Microsoft Office experience.
Will be performing alpha and numeric data entry. Candidate should have strong ability to retain verbal information and strong verbal communication skills.
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.
Ancillary Duties And Responsibilities
Maintain a positive work atmosphere that embodies Liberator’s philosophy- Professional excellence, teamwork and integrity.
Performs other duties and tasks as assigned
Reporting Relationship Responsibilities
No supervisory responsibilities
Provides work direction only
Provides work direction plus has responsibility for hiring, promotions, transfers, performance management, discipline, and discharge.
Minimum Requirements Or Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
The requirements listed below are representative of the knowledge, skill, and/or ability required.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions
Education/Experience
High School Diploma or general education degree (GED);
one to two years related experience and/or training; or equivalent combination of education and experience.
SkillsLanguage:
Ability to read, analyze, and interpret medical supply publications, technical procedures, and/or training tools. Ability to write internal and external business correspondence.
Ability to effectively present information and respond to questions from management, team members, and/or customers.
Math
Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, and percentages. Ability to apply intermediate math skills.
Reasoning
Ability to solve practical problems and deal with a variety of variables.
Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Advanced analytical reasoning to include ability to forecast exponentials within work flow processes and reason against outside factors.
Computer
Knowledge of Microsoft Office Applications, Access or other database software
Telecommunications: ability to utilize or knowledge of call center telecommunications software
Licensure Or Certifications Required
No certifications required
Production/Quality Metrics
Demonstrate ability to produce one (1) completed insurance verification every 9-11 minutes on average, with an error rate of 3.5% or less each calendar quarter.
Production and quality standards are at the sole discretion of management and are subject to revision at any time and without prior written notice.
Work Requirements
Ability to work some evening shifts, weekends, and overtime as needed
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is frequently required to walk, sit; use hands to finger, handle, or feel and talk or hear.
The employee is occasionally required to stand. The employee must occasionally lift and/or move up to 10 lbs.
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.)
While performing the duties of this position, the employee performs tasks in a temperature controlled office environment under normal office conditions.
The noise level in the work environment is usually moderate.
The work environment involves minimal exposure to hazards or physical risks, which require following basic safety precautions.
Disclaimer
The above job description is meant to describe the general nature and level of work being performed; it is not intended to be an exhaustive list of all responsibilities, duties, and skills required for this position.
The Company officers, mid-level, and entry level management staff may assign additional duties and responsibilities as needed.
This job description in no way states or implies that these are the only duties to be performed by the employee occupying this position.
Employees will be required to follow any other job-related duties requested by their supervisor in compliance with Federal and State Laws.