Customer Service Specialist
ActivStyle
Las Vegas, NV
Looking for a full-time, in-office role where your work truly matters?
At ActivStyle,we’re driven by purpose—and we’re looking for compassionate, motivated professionals to join us full time in our, Las Vegas, Nevada office.
As a trusted provider of home-delivered medical supplies, ActivStyle helps individuals live with dignity, independence, and comfort. We’re currently hiring a Customer Service Specialist (Full-Time, Onsite) who will serve as the friendly voice and knowledgeable guide for our clients.
In this role, you’ll support customers by helping them access essential products such as incontinence supplies, urological items, and other personal care needs—all delivered discreetly to their homes. You’ll work alongside a supportive, mission-focused team in a collaborative in-office environment where your impact is felt every day.
If you’re passionate about helping others and thrive in a professional, people-first workplace, we’d love to welcome you to the ActivStyle family.
PositionSummary:
Customer Service Specialists are responsible for learning and understanding the entire front-end process to ensure successful service for our patients. The Customer Service Specialists works in a fast-paced environment answering inbound calls and making outbound calls. Maybe responsible for obtaining, analyze, and verify the accuracy of information received from referrals,create orders, andor schedule the patient toreceive equipment asordered by their doctor. Customer Service Specialists should educate Patients of their financial responsibility when applicable.
EssentialFunctionsandJobResponsibilities:
- Develop andmaintainworkingknowledgeofcurrentproductsandservicesofferedbythecompany
- Answerallcallsandemailsinatimelymanner,inadherencetotheirgoals
- Documentallcallinformationaccordingtostandardoperatingprocedures
- Answerquestionsaboutproductsandservices,retailstores,generalservicelineinformationandother information as necessary based on customer call needs
- Processorders,routecallstoappropriateresource andfollowuponcustomercallswhere necessary
- Reviewallrequireddocumentationtoensureaccuracy
- Accuratelyprocess,verify,and/orsubmitdocumentationandorders
- Completeinsuranceverificationtodeterminepatient’seligibility,coverage,co-insurances,anddeductibles
- Obtainpre-authorizationifrequiredbyaninsurancecarrierandprocessphysicianorderstoinsurancecarriersfor approval and authorization when required
- MustbeabletonavigatethroughmultipleonlineEMRsystemstoobtainapplicabledocumentation
- EnterandreviewallpertinentinformationinEMRsystemincludingauthorizationsandexpirationdates
- CommunicatewithCustomerServiceandManagementonanon-goingbasisregardinganynoticedtrendswith insurance companies
- Verifyinsurancecarriersarelistedinthecompany’sdatabasesystem,ifnotrequestthenewcarrieris entered
- Responsibleforcontactingpatientwhendocumentationreceiveddoesnotmeetpayerguidelinestoprovide updates and offer additional options to facilitate the referral process.
- Meetqualityassurancerequirementsandotherkeyperformancemetrics
- Facilitateresolutiononcustomercomplaintsandproblemsolving
- Paysattentiontodetailandhasgreatorganizationalskills
- Activelylistenstopatientsandhandlestressfulsituationswithcompassionandempathy
- Flexiblewiththeactualworkandthehoursofoperation
- Utilizecompanyprovidedtoolstomaintainquality.SometoolsmayincludebutarenotlimitedtoAuthorization Guidelines, Insurance Guidelines, Fee Schedules, NPI (National Provider Identifier), PECOS (the Medicare Provider Enrollment, Chain, and Ownership System) and “How-To” documents
- DevelopandmaintainworkingknowledgeofcurrentHMEproductsandservicesofferedbythe company.
- MaintainpatientconfidentialityandfunctionwithintheguidelinesofHIPAA.
- Completesassignedcompliancetrainingandothereducationalprogramsas required.
- MaintainscompliantwithActivStyle’sComplianceProgram.
- Assistoperationswithon-callresponsibilitiesasneededduringnon-businesshoursinaccordancewithcompany policy.
- Dependingonthegeographicterritoryandsizeofthebranchlocation,mayrequireassistingoperationswith deliveries.
- RetainknowledgeofandconsistentlyadheretoproceduresfortheuseofPersonalProtectiveEquipment(PPE), infection control and hazardous materials handling.
- Performotherrelateddutiesasassigned.
Competency,SkillsandAbilities:
- Excellent customer service skills
- Analyticalandproblem-solvingskillswithattentiontodetail
- DecisionMaking
- Excellentabilitytocommunicatebothverballyandinwriting
- Abilitytoprioritizeandmanagemultipletasks
- ProficientcomputerskillsandknowledgeofMicrosoftOffice
- GeneralknowledgeofMedicare,Medicaid,andCommercialhealthplanmethodologiesanddocumentation requirements preferred.
- Abilitytoadaptandbeflexibleinarapidlychangingenvironment,bepatient,accountable,proactive,takeinitiative and work effectively on a team.
- Abilitytoapplycommonsenseunderstandingtocarryoutinstructionsfurnishedinwritten,oral,ordiagramform.
- Abilitytoworkindependentlyaswellasfollowdetaileddirectives
- Solidabilitytolearnnewtechnologiesandpossessthetechnicalaptituderequiredtounderstandflowofdata through systems as well as system interaction
- Computer skills including knowledge of Microsoft Office applications
EducationandExperienceRequirements:
- HighSchoolDiplomaorequivalent required & One(1)yearworkrelatedexperienceinhealthcareadministrative,financial,orinsurancecustomerservices, claims, billing, call center or management regardless of industry.
or:
- Associate's degree in a field of study related to patient healthcare.
- Seniorlevelrequirestwo(2)yearsofwork-relatedexperienceandone(1)yearofexactjobexperience.
- ExactjobexperienceisconsideredanyoftheabovetasksinaMedicarecertifiedHME,Diabetic,Pharmacy,or home medical supplies environment that routinely bills insurance.
PhysicalDemandsandWorkEnvironment:
- Workenvironmentmaybestressfulattimes,asoverallofficeactivitiesandworklevelsfluctuate
- Mustbeabletobend,stoop,stretch,stand,andsitforextendedperiodsoftime
- Subjecttolongperiodsofsittingandexposuretocomputerscreen
- Abilitytoperformrepetitivemotionsofwrists,hands,and/orfingersduetoextensivecomputeruse
- Mustbeabletolift5to10poundsperiodicallyas needed.
- Excellentabilitytoeffectivelycommunicatebothverballyandwrittenwithcustomerswiththeabilityto demonstrate empathy, compassion, courtesy, and respect for privacy.
- Mentalalertnesstoperformtheessentialfunctionsofposition.
- Maybeexposedtoangryoriratecustomersor patients
- Maybeexposedtohazardousmaterials,loudnoise,extremeheat/cold,direct,orindirectcontactwithairborne, bloodborne, and/or other potentially infectious pathogen.
Amazing Benefits At A Glance:
- Team Driven and Values Based Culture
- Medical, Dental, and Vision Benefits
- Paid Time Off (PTO), Holiday Pay, Sick and Safe Time for Applicable States
- Employee Assistance Program
- Career Growth Opportunities
- 401(k) and Generous Employer Match Opportunity
- The pay range for this position is $20 -23/hour.
This employer participates in E-Verify. Following acceptance of any job offer, at the start of employment the employer will provide the federal government Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify is unable to verify your eligibility for employment this employer will provide written instructions to provide an opportunity to contact the appropriate agencies and resolve the discrepancy prior to taking any action against continued employment.