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    Healthcare Customer Service Representative - Boston, United States - TEKsystems

    TEKsystems
    TEKsystems Boston, United States

    2 weeks ago

    TEKsystems background
    Description


    Customer Service SpecialistCustomer Service Specialists are responsible for learning and understanding the entire front-end process to ensure successful service for our patients.

    The Customer Service Specialists works in a fast-paced environment answering inbound calls and making outbound calls.

    Maybe responsible for obtaining, analyze, and verify the accuracy of information received from referrals, create orders, and or schedule the patient to receive equipment as ordered by their doctor.

    Customer Service Specialists should educate Patients of their financial responsibility when applicable.


    HOURS:
    Monday - Friday 9AM -5:30


    PMON SITE:

    BOSTON, MAJob Duties:

    Develop and maintain working knowledge of current products and services offered by the companyAnswer all calls and emails in a timely manner, in adherence to their goalsDocument all call information according to standard operating proceduresAnswer questions about products and services, retail stores, general service line information and other information as necessary based on customer call needsProcess orders, route calls to appropriate resource, and follow up on customer calls where necessaryReview all required documentation to ensure accuracyAccurately process, verify, and/or submit documentation and ordersComplete insurance verification to determine patients eligibility, coverage, co-insurances, and deductiblesObtain pre-authorization if required by an insurance carrier and process physician orders to insurance carriers for approval and authorization when requiredMust be able to navigate through multiple online EMR systems to obtain applicable documentationEnter and review all pertinent information in EMR system including authorizations and expiration datesCommunicate with Customer Service and Management on an on-going basis regarding any noticed trends with insurance companiesVerify insurance carriers are listed in the companys database system, if not request the new carrier is enteredResponsible for contacting patient when documentation received does not meet payer guidelines to provide updates and offer additional options to facilitate the referral process.

    Meet quality assurance requirements and other key performance metricsFacilitate resolution on customer complaints and problem solvingPays attention to detail and has great organizational skillsActively listens to patients and handle stressful situations with compassion and empathyFlexible with the actual work and the hours of operationUtilize company provided tools to maintain quality.

    Some tools may include but are not limited to Authorization Guidelines, Insurance Guidelines, Fee Schedules, NPI (National Provider Identifier), PECOS (the Medicare Provider Enrollment, Chain, and Ownership System) and How-To documentsAbout TEKsystems:
    We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity.

    We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia.

    As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change.

    That's the power of true partnership. TEKsystems is an Allegis Group company.

    The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

    #J-18808-Ljbffr
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