Representative I

Our Client, a Retail Pharmacy company, is looking for a Representative I for their Cumberland, RI location.

Responsibilities:

• Tasks for Customer Service Rep can differ per location: Effective delivery of company products and services (40%) Responds to telephone inquiries and orders from homecare patients and referral sources.
• Provides information on equipment, supplies and services.
• Determines the best method for providing services.
• May assist walk-in patients with the selection of equipment, supplies and services.
• Timely processing/facilitation of patient orders (30%) Processes telephone orders by preparing patient paperwork.
• Verifies insurance and/or other method of payment.
• Completes all necessary paperwork in an accurate and efficient manner to facilitate the data entry, accounts receivable and delivery of the order placed.
• May perform data entry.
• Distributes copies of paperwork to appropriate personnel.
• May assist with the processing of billing paperwork.
• Effective coordination of patient services/supplies (10%) Coordinates the delivery, set-up and pick-up of equipment, supplies and services with appropriate personnel.
• Ensures deliveries and set-ups can be arranged in a timely manner.
• Appropriate documentation (10%) Accurately maintains files of all patient account profile information and referral source data.
• Customer satisfaction (10%) Resolves patient complaints by identifying problems and coordinating appropriate corrective action.

Requirements:

• Knowledge of Medicare, Medicaid, and 3rd party vendors is a plus.
• The primary responsibilities are to verify insurance coverage for potential new clients.
• Additionally, this person will re-verify insurance coverage for existing patients in order to process patient prescription needs successly and demonstrate excellent customer services to patients, healthcare professionals, and insurance carriers.
• This role will require an understanding of insurance concepts, including drug cards, major medical benefits, and per diem coverage, as well as knowledge of government and patient assistance programs.
• Strong attention to detail, and proven analytic and problem solving.
• Minimum of 1 year in a customer service or call center environment (call center type environments preferred, if doctors office then anything below managing 75 calls/day would not translate to similar environment).
• Must have effective and empathetic communication style in managing inbound calls and communications with clients and team members.
• Computer experience is required with proficiency in Microsoft Outlook, Word and Excel.
• Basic alpha number data entry skills with attention to accuracy and quality is essential.
• Intermediate math skills are required with attention to detail and quality essential.
• Experience in a health care setting or insurance industry is a plus, including knowledge of basic insurance and third party terms and medical terminology. * Ability to work with people in a team environment while meeting individual performance goals.
• Must be able to read and interpret policies, procedures and instructions.
• Effective organizational skills and ability to prioritize a fluctuating workload and competing priorities is essential.
• High School diploma or GED

Why Should You Apply?

• Health Benefits
• Referral Program
• Excellent growth and advancement opportunities