TEKsystems - Putnam, CT

posted 6 days ago

Full-time - Entry Level
Putnam, CT
10,001+ employees
Professional, Scientific, and Technical Services

About the position

The Customer Service Specialist at TEKsystems is responsible for managing the front-end process to ensure effective service delivery for patients. This role involves handling inbound and outbound calls in a fast-paced environment, verifying information from referrals, creating orders, and scheduling equipment for patients as prescribed by their doctors. The specialist also educates patients about their financial responsibilities when necessary.

Responsibilities

  • Develop and maintain working knowledge of current products and services offered by the company
  • Answer all calls and emails in a timely manner, in adherence to their goals
  • Document all call information according to standard operating procedures
  • Answer questions about products and services, retail stores, general service line information and other information as necessary based on customer call needs
  • Process orders, route calls to appropriate resource, and follow up on customer calls where necessary
  • Review all required documentation to ensure accuracy
  • Accurately process, verify, and/or submit documentation and orders
  • Complete insurance verification to determine patient's eligibility, coverage, co-insurances, and deductibles
  • Obtain pre-authorization if required by an insurance carrier and process physician orders to insurance carriers for approval and authorization when required
  • Navigate through multiple online EMR systems to obtain applicable documentation
  • Enter and review all pertinent information in EMR system including authorizations and expiration dates
  • Communicate with Customer Service and Management on an ongoing basis regarding any noticed trends with insurance companies
  • Verify insurance carriers are listed in the company's database system, if not request the new carrier is entered
  • Contact 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 metrics
  • Facilitate resolution on customer complaints and problem solving
  • Pay attention to detail and demonstrate great organizational skills
  • Actively listen to patients and handle stressful situations with compassion and empathy
  • Be flexible with the actual work and the hours of operation
  • Utilize company provided tools to maintain quality.

Requirements

  • Strong communication skills, both verbal and written
  • Ability to handle multiple tasks in a fast-paced environment
  • Experience with customer service or related field
  • Familiarity with insurance verification processes
  • Proficiency in using EMR systems and other relevant software
  • Attention to detail and strong organizational skills
  • Ability to work collaboratively with team members and management

Nice-to-haves

  • Experience in healthcare or medical customer service
  • Knowledge of insurance guidelines and authorization processes
  • Ability to work flexible hours

Benefits

  • Health insurance
  • 401k plan
  • Paid time off
  • Professional development opportunities
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