Job Description
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 services
• Contacts patients to inform them of any patient payment requirements, collects payment, and determines best delivery method, providing instructions for receiving delivery
• Understands and abides by Accreditation Commission for Health Care (ACHC) requirements
• May need to understand and interpret Medicare guidelines and qualifying documentation
• Thoroughly understands payer and utilization guidelines
• May process insurance authorization and follow up on requests as needed
• Establishes positive relationships with referral sources and builds rapport with internal and external customers
• May be required to perform quality assurance process, confirming accuracy of orders prior to submission for reimbursement
• Understands C-PAP compliance guidelines as required by assignment, or has obtained knowledge of rehab specialty equipment and coverage criteria
• Consistently meets Quality Assurance score of 85% or above
#CSR
• 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 services
• Contacts patients to inform them of any patient payment requirements, collects payment, and determines best delivery method, providing instructions for receiving delivery
• Understands and abides by Accreditation Commission for Health Care (ACHC) requirements
• May need to understand and interpret Medicare guidelines and qualifying documentation
• Thoroughly understands payer and utilization guidelines
• May process insurance authorization and follow up on requests as needed
• Establishes positive relationships with referral sources and builds rapport with internal and external customers
• May be required to perform quality assurance process, confirming accuracy of orders prior to submission for reimbursement
• Understands C-PAP compliance guidelines as required by assignment, or has obtained knowledge of rehab specialty equipment and coverage criteria
• Consistently meets Quality Assurance score of 85% or above
#CSR
💡 Quick Summary
Seeking a career-building opportunity? The Customer Service Rep II - PHC position is now open for candidates interested in the Customer Care sector. This role in Phoenix offers a professional environment and growth potential.
Requirement Snapshot: Candidates should possess basic communication skills, a proactive attitude, and the ability to work in a team. Experience in Customer Care is a plus.
