Customer Care Specialist

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SuperCare Health (USA)

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201 - 500 Mitarbeiter

⚕️ Krankenversicherung

Healthcare Insurance

SuperCare Health ist ein Gesundheitsdienstleistungsunternehmen, das seit fast 50 Jahren das Leben von Patienten mit chronischen Erkrankungen verbessert. Sie arbeiten mit Gesundheitsdienstleistern und Versicherungsanbietern zusammen, um Patienten durch personalisierte Gesundheitspläne bei der Erhaltung ihrer Unabhängigkeit zu unterstützen. Sie bieten eine Reihe von Dienstleistungen an, darunter diagnostische Atemwegstools, Ausrüstung, Bedarfsartikel, Rezepte mit Hauslieferung und individuelle Betreuungsprogramme zur Verwaltung chronischer Erkrankungen. SuperCare Health bietet auch Unterstützung und Bildung für Patienten durch klinische Outreach-Programme und arbeitet mit großen Versicherungsanbietern zusammen, um die Patientenleistungen maximal auszunutzen. Sie bedienen Gesundheitsdienstleister, Kostenträger und Patienten im ganzen Land über 28 Servicestandorte.

Beschreibung

• Answers incoming phone calls and faxes, takes customers’ orders for durable medical and respiratory equipment, repairs, supplies, and other miscellaneous items • Maintains open communication with patients/clients and referral sources • Responds to patient/client questions and problems • Services walk in customers as needed • Prepares intake, gathers all necessary information about referral, patient demographics, contact person, physician, diagnosis, discharge time and place, item(s) requested • Gathers all necessary documentation, prior to delivery CMN, Rx, ABG, Care Plan, Auth, etc. • Verifies medical necessity with physician • Verifies eligibility and coverage with Insurance and carrier according to guidelines or contract • Verifies payer (with matrix), obtains authorization, expiration date • Verifies patient demographics and prior equipment usage with patient • Informs patient of financial responsibilities: copay, share of cost, deductible, etc. • Enters data and each order (new or otherwise) in system accurately and in a timely manner • Processes closet and on call orders as received • Enters notes in appropriate areas of insurance, general, and authorizations in the computer system • Process orders to shipping or dispatching for Technician or RT deliveries • Remains knowledgeable on product and insurance coverage issues in order to inform patients of copays and other benefit information • Attends all departmental meetings, company meetings, and in-services • Reports to work daily and is ready to work at the scheduled start time • Works Saturday assignment as needed or scheduled • Performs any other duties that may be requested by supervisor or management • Understand and adheres to all of SuperCare Health company policies • To remain knowledgeable to date on all products, guidelines and insurance coverage trends • Maintain a professional safe and clean work environment. • Understand and adheres to all of SuperCare Health company policies. • Perform all other duties as assigned and required • Must meet minimum of monthly goals • Schedule- varying start times

🎯 Anforderungen

• Experience with Medical Supply Company • Knowledge of diagnosis and Medical terminology • Excellent Customer Service skills • Detail oriented • Previous Management/Supervisor or Lead experience • Proficiency in Microsoft Word, Outlook, and PowerPoint • Experience in healthcare, medical and/or HME industry (preferred) • Be able to work on multiple tasks. • Plan and prioritize activities to achieve results and meet deadlines • Strong organizational skills and detail oriented • Bilingual Spanish Preferred.

🏖️ Vorteile

• Medical • Dental • Vision • Flexible Savings Account • 401K • Voluntary Life Insurance • Observed Holidays: New Year's Day, Memorial Day, July 4th, Labor Day, Thanksgiving Day, Christmas Day. • Paid Training • Paid Time Off • Sick Time • Growth Opportunities • Employee Referral Reward Program • Employee Discount Program