Healthcare Customer Service Representative- START ASAP

TEKsystems - Fresno, CA

Full-time - Entry Level

Fresno, CA

10,001+ employees

Professional, Scientific, and Technical Services

About the position

The Healthcare Customer Service Representative at TEKsystems is responsible for providing exceptional service to patients by managing inbound and outbound calls, processing orders, and ensuring accurate documentation. This role requires a comprehensive understanding of the company's products and services, as well as the ability to navigate multiple electronic medical record (EMR) systems. The representative will also educate patients about their financial responsibilities and facilitate communication between patients and insurance providers.

Responsibilities

• Develop and maintain working knowledge of current products and services offered by the company
• Answer all calls and emails in a timely manner, adhering to performance goals
• Document all call information according to standard operating procedures
• Answer questions about products and services, retail stores, and general service line information
• Process orders, route calls to appropriate resources, and follow up on customer calls as 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 for approval and authorization
• 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 regarding trends with insurance companies
• Verify insurance carriers are listed in the company's database system and request new entries if necessary
• Contact patients when documentation does not meet payer guidelines to provide updates and options
• 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 work hours and operations
• Utilize company-provided tools to maintain quality.

Requirements

• Strong communication skills, both verbal and written
• Ability to work in a fast-paced environment
• Experience in customer service, preferably in healthcare
• Familiarity with insurance verification processes
• Proficiency in using electronic medical record (EMR) systems
• Attention to detail and strong organizational skills
• Ability to handle stressful situations with empathy and compassion

Nice-to-haves

• Experience with medical terminology
• Knowledge of insurance guidelines and pre-authorization processes
• Ability to work collaboratively in a team environment

Benefits

• Health insurance
• 401k plan
• Paid time off
• Flexible scheduling options