Healthcare Consultant: PHS/ NB Customer Service - Rose International

Description:
•The primary responsibilities are to verify insurance coverage for potential and new clients. Additionally, this person will re-verify insurance coverage for existing patients to answer questions about benefits, coverage, billing and payments.
•Effective delivery of company products and services
•Responds to telephone inquiries from new policyholders, tenured policyholders, agents and their representatives
•Provides information coverage and benefits, billing and payments and field general questions. Determines the best method for providing services.
•Verifies insurance and/or payments
•May perform data entry.
•May assist with the processing of billing paperwork.
•Accurately maintains files of all patient account profile information and referral source data.
•Resolves patient complaints by identifying the root cause of opportunities and coordinating appropriate corrective action.

Experience
•Knowledge of Medicare and 3rd party vendors is a plus.
•Ability to demonstrate excellent customer services to members, agents and their representatives.
•Must demonstrate strong attention to detail and proven analytic and problem solving.
•This role will require an understanding of insurance concepts, including governmental plans, ancillary plan benefits, and other coverages.
•Minimum of 1 year in a customer service or call center environment (call center type environments preferred, if doctor’s 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.

Position Summary
•The primary responsibilities are to verify insurance coverage for potential and new clients. Additionally, this person will re-verify insurance coverage for existing patients to answer questions about benefits, coverage, billing and payments.
•Effective delivery of company products and services
•Responds to telephone inquiries from new policyholders, tenured policyholders, agents and their representatives
•Provides information coverage and benefits, billing and payments and field general questions.
•Determines the best method for providing services.
•Verifies insurance and/or payments
•May perform data entry.
•May assist with the processing of billing paperwork.
•Accurately maintains files of all patient account profile information and referral source data.
•Resolves patient complaints by identifying the root cause of opportunities and coordinating appropriate corrective action.
•Knowledge of Medicare and 3rd party vendors is a plus.
•Ability to demonstrate excellent customer services to members, agents and their representatives.
•Must demonstrate strong attention to detail and proven analytic and problem solving.
•This role will require an understanding of insurance concepts, including governmental plans, ancillary plan benefits, and other coverages.
•Minimum of 1 year in a customer service or call center environment (call center type environments preferred, if doctor’s 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.
•This position is a work in office opportunity. A candidate must be willing to work in office and have reliable transportation to and from our office located in Franklin, TN.

Education
•High School diploma or GED

Benefits:

For information and details on employment benefits offered with this position, please visit here .Should you have any questions / concerns, please contact our HR Department via our secure website .

California Pay Equity:
For information and details on pay equity laws in California, please visit the State of California Department of Industrial Relations' website here.

Rose International is an Equal Opportunity Employer.All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender(expression or identity), national origin, arrest and conviction records, disability, veteran status or any other characteristic protected by law.Positions located in San Francisco and Los Angeles, California will be administered in accordance with their respective Fair Chance Ordinances.

If you need assistance in completing this application, or during any phase of the application, interview, hiring, or employment process, whether due to a disability or otherwise, please contact our HR Department.

Rose International has an official agreement (ID #132522), effective June 30, 2008, with the U.S. Department of Homeland Security, U.S. Citizenship and Immigration Services, Employment Verification Program (E-Verify). (Posting required by OCGA 13/10-91.).