Customer Service Representative - CPM

Customer Service Representative - CPM

Job Description:

Receiving all telephone and mail communication from referral sources and customers, including but not limited to, order taking and obtaining accurate customer, insurance, medical and product information for pre-authorization and billing purposes. Establishes and maintains all customer files with complete current and historical information.

 
Responsibilities:

• Complies with all applicable company policies and procedures.

   

• Answers telephone and receives orders from referral sources.

• Coordinates all patient information and processes paperwork, including preparation of file for billing.

• Bills all third party products.

• Verifies insurance benefits and acquires necessary authorization for services rendered to patient.

• Establishes customer records and records appropriate customer and equipment rental information in each Customer’s record.

• Assists in resolving customer equipment problems under emergency conditions.

• Assists with implementation of quality improvement program to meet Company, State, Federal, and CHAP standards.

• Performs communication functions as required including, but not limited to, routine calls to patients and introductory calls to potential referral sources.

• Develops and maintains working knowledge of current home care products and services offered by the company and all applicable insurance guidelines regarding eligibility for coverage and reimbursement.

• Monitors and records customer, physician and referral source communications. Notifies appropriate personnel at the company if a particular service or response, within the scope of their responsibility, is required.

• Assists Collections/Reimburse management.

  Processes accounts and maintains appropriate records in a timely manner.

• Secures certification of medical necessity.

Qualifications:

• Ability to file, perform minimal accounting functions, maintain records, understand reimbursement requirements and has good typing and data entry skills.

• Two years experience in an insurance office or physician’s office or three (3) years general office experience required.

• High school diploma required, with a minimum two (2) years junior college preferred.

  Effective verbal and written communication skills.

• Knowledgeable in all major insurance carriers reimbursement guidelines and eligibility for coverage by third party payor preferred. Familiar with DME equipment preferred.

Benefits:

• We offer a competitive salary commensurate with experience

• Excellent benefits

Please Apply Online!