TEKsystems is a leading provider of business and technology services, helping clients activate ideas and solutions. They are seeking a Customer Service Representative to manage customer inquiries, process orders, and verify insurance information while maintaining high standards of service.
Responsibilities:
- 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
- Must be able to 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 on-going 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
- Responsible for contacting patient when documentation received does not meet payer guidelines to provide updates and offer additional options to facilitate the referral process
Requirements:
- 1+ years of customer service experience (retail, restaurant are acceptable)
- Experience with Microsoft Office