SUMMARY OF POSITION: Processing specialist consist of working in a fast pace call center environment while interacting with potential or established patients and determining patients' needs based on inquires made. The key purpose is to project the company's image through telephone interaction while maximizing all quotas.
ESSENTIAL FUNCTIONS:
Communicate positively and professionally with all internal and external personnel
Ensure appropriate representation of US MED by demonstrating the greatest degree of professionalism that is reflective with company core values
Develop and maintain knowledge of all products and services offered by the company
Establish and maintain an effective relationship with internal and external personnel by gaining their trust and respect; establish a positive rapport with every call
Be responsive to ongoing feedback and training from team leader and supervisors
Understands and complies with all policies and procedures
Complies with HIPAA rules, appropriately safeguarding PHI or other private & confidential information
Maintains attendance, punctuality standards and professional appearance
Ensure the existence and accuracy of patients' Medicare, private, supplemental and /or secondary insurance
Qualify patients' order and insurance eligibility based on physicians order
Ensure accurate changes to patient's record. Ascertain that all updated changes are accurately entered in the appropriate application/ system after each call
Ensure that new patients receive all required forms documents and disclosure statements
Review all proper documentation for exporting patient information to database. Complete patient file maintenance and enter initial orders into database
Conduct inbound and/or outbound calls to patients, doctors' offices, insurance companies as necessary or required to complete task
Answer incoming patient calls regarding any concerns; ascertain patient needs; respond appropriately and with urgency to patient requests, question, complaints and concerns
Ensure that daily task assigned are completed by day of the shift
Assist other departments with patient processing, patient issues ,and on-going projects that are vital to the company
Performs all other duties as assigned by management
QUALIFICATIONS: To perform this job successfully, an employee is required to perform each essential function satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.
EDUCATION AND EXPERIENCE:
· High School Diploma or equivalent
· 2 + Years of experience in a customer service environment
· DME Experience, billing and Medicare claims preferred but not required
· Excellent typing skills preferred but not required
· Ability to work in a high call volume
· Excellent communication skills, both verbal and written
· Able to work weekend hours , as necessary or required
PM21
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