Customer Service Representative - CPM

Job Description:

Receiving all telephone and mail communication from referral sources and customers, including but not limited to, order taking and obtaining accurate customer, insurance, medical and product information for pre-authorization and billing purposes. Establishes and maintains all customer files with complete current and historical information.

Responsibilities:

·          Complies with all applicable company policies and procedures.

·          Answers telephone and receives orders from referral sources.

·          Coordinates all patient information and processes paperwork, including preparation of file for billing.

·          Bills all third party products.

·          Verifies insurance benefits and acquires necessary authorization for services rendered to patient.

·          Establishes customer records and records appropriate customer and equipment rental information in each Customer’s record.

·          Assists in resolving customer equipment problems under emergency conditions.

·          Assists with implementation of quality improvement program to meet Company, State, Federal, and CHAP standards.

·          Performs communication functions as required including, but not limited to, routine calls to patients and introductory calls to potential referral sources. Develops and maintains working knowledge of current home care products and services offered by the company and all applicable insurance guidelines regarding eligibility for coverage and reimbursement.

·          Monitors and records customer, physician and referral source communications. Notifies appropriate personnel at the company if a particular service or response, within the scope of their responsibility, is required.

·          Assists Collections/Reimburse management.

·          Processes accounts and maintains appropriate records in a timely manner.

·          Secures certification of medical necessity.

Qualifications:

·          Ability to file, perform minimal accounting functions, maintain records, understand reimbursement requirements and has good typing and data entry skills.

·          Two years experience in an insurance office or physician’s office or three (3) years general office experience required.

·          High school diploma required, with a minimum two (2) years junior college preferred.

·          Effective verbal and written communication skills.

·          Knowledgeable in all major insurance carriers reimbursement guidelines and eligibility for coverage by third party payor preferred. Familiar with DME equipment preferred.

Benefits:

·          We offer a competitive salary commensurate with experience

·          Excellent benefits

Please Apply Online!