Customer Service Call Center - Work From Home!

CCS provides at-home chronic care management and patient support services. The Patient Advocate Representative I supports call center operations by delivering customer service, resolving patient concerns, processing reorders and authorizations, validating documentation, and supporting accurate billing and insurance processing.

Responsibilities:

• Obtains and process authorizations for reorders
• Resolve patient issues and ensures accurate reorder processing via phone, document processing and medical record validation
• Ensures patients have all required medical documentation to permit billing of services as assigned
• Maximizes patient base through retention efforts and cross-selling via phone
• Handles inbound and outbound calls from patients’ physicians and referral sources to ensure patient satisfaction, troubleshoot new and existing patient concerns, add services, verify, and explain insurance coverage to patients
• Audits configuration of supplies based on supporting documentation, formulary requirements and manufacturer capabilities
• Maintains a strong understanding of medical documentation, Insurance requirements and company procedures
• Maintains a high degree of confidentiality always due to access to sensitive information
• Maintains regular, predictable, consistent attendance and is flexible to meet the needs of the department

Requirements:

• Minimum high School diploma or GED equivalent
• Proficient computer literacy to include strong keyboarding and ability to key data accurately while maintaining strong listening skills
• Strong attention to detail, multi-tasking, communication, and organizational skills are essential
• Exceptional phone and email etiquette
• Customer Service Experience Preferred
• Position may require evening and weekend availability