Customer Care Representative III

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🔥 7 minutes ago

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Diabetes Youth Families

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 1938

⚕️ Healthcare Insurance

🔧 Hardware

Healthcare Insurance • Hardware

Diabetes Youth Families is a company that provides wearable insulin delivery solutions for diabetes management. Their primary products, such as the Omnipod 5 and Omnipod DASH systems, offer tubeless and automated insulin delivery for people with Type 1 and Type 2 diabetes, allowing users to manage their condition without the need for multiple daily injections. The systems integrate with continuous glucose monitoring (CGM) devices and can be controlled via compatible smartphones, enhancing the freedom and lifestyle of individuals living with diabetes. With a focus on reducing the burden of diabetes management, they offer financial assistance, support resources, and trial programs to help users adapt to their innovative solutions. The company emphasizes making life simpler while managing diabetes through technology-driven insulin management systems.

📋 Description

• Manage inbound queries, verify insurance and benefits, coordinate orders and shipments, and ensure accurate documentation for reimbursement. • Assist with benefits investigation and answer a variety of reimbursement related questions. • Process all aspects of the order process by verifying insurance benefits/coverage to determine eligibility and calculate cost share amounts for existing and new customers. • Request and collect updated documentation, prior authorizations, order entry and coordinating shipment of product to customers. • Understand Insulet channeling and processing requirements for all covered products, based on medical policy and payer guidelines. • Provide support and direction to customers and resolve customer service issues in a timely and empathetic manner. • Document all interactions and calls into the customer database and maintain compliance to HIPAA and other regulating bodies as required. • Responsible for maintaining satisfactory call and order counts as defined by management. • Calculate and document cost share amounts for potential customers. • Collaborate with other commercial teams such as Case Management, OmniPod Sales and Billing to ensure proactive communication of potential customer’s order status.

🎯 Requirements

• Associates degree or equivalent combination of education and experience preferred. • Relevant experience in call center, reimbursement, healthcare related customer service experience and pharmacy technician license/experience preferred. • Ideal candidate will have knowledge of medical device reimbursement from a manufacturer or DME perspective. • Call center/customer service experience required. • This position has an inbound call queue/call handling requirement. • Knowledge of managed care industry is preferred. • Knowledge of diabetes and experience supporting customers with diabetes is preferred. • Bilingual skills a plus. • Experience with Salesforce CRM preferred.

🏖️ Benefits

• Highly motivated, performance-driven individuals to be a part of our expanding team. • Culture supports a healthy work and life balance. • Opportunity for continuous process improvement.