Customer Operations Specialist

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Diabetes Youth Families

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 1938

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

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

• Process all aspects of the order process by verifying insurance benefits to determine eligibility and cost share amounts, reimbursement by contacting payors, verifying insurance benefits and adhering to medical guidelines for reimbursement. • Serving as a department expert on escalation calls/tasks, Insulet insurance contracts, channeling and processing requirements for all covered products. • Requesting and collecting updated documentation, order entry and coordinating shipment of product to customers. • Must maintain a thorough understanding of products offered by Insulet with the ability to explain to potential or existing customers the basic operation and use. • Answering phone inquiries and providing support and direction to customers and resolving customer service issues in a timely and empathetic manner. • Submission of all prior authorization requests for approval and payment of Insulet products at time of claim processing. • 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. • Document all interactions and calls into the customer database and maintain compliance to HIPAA and other regulating bodies as required. • Provide frequent feedback and suggestions to support an environment of continuous process improvement. • Using their advanced knowledge and skill set, this position could be called upon to complete a wide range of task within the Reimbursement team.

🎯 Requirements

• Associates/Bachelor’s Degree and/or equivalent combination of education and experience. • 4+ years’ related experience in a professional working environment, preferably with extensive phone coverage and medical device or health care oriented. • Individual health plan insurance knowledge and understanding of the managed care industry is required. • Knowledge of diabetes and experience supporting patients with diabetes is preferred. • Experience with Salesforce CRM (preferred).

🏖️ Benefits

• health insurance • retirement plans • paid time off • flexible work arrangements • professional development