Medical Customer Service Representative

Looking for a stable Monday–Friday opportunity where your customer service skills can make a difference? Join a healthcare-focused team where you’ll help patients receive the medical equipment and supplies they need while coordinating insurance, referrals, and authorizations. This is a great opportunity for someone who enjoys helping people, staying organized, and working in a fast-paced environment.

LOCATION: Fort Worth, TX | Onsite

JOB ID: 157177

COMPENSATION & SCHEDULE

• $20.00/hour
• Monday–Friday, 8:30 AM–5:30 PM

KEY RESPONSIBILITIES

• Assist patients and customers with supply pricing, reorders, shipping, product questions, service issues, complaints, and incomplete orders.
• Process incoming referrals and coordinate the delivery of durable medical equipment (DME), pharmacy medications, and supplies.
• Verify insurance coverage and benefit eligibility, obtain prior authorizations, and submit required documentation to Medicaid, managed care organizations (MCOs), and other third-party payors.
• Maintain accurate patient, referral, reimbursement, and authorization information in computer systems and provide documentation to billing for insurance claims.
• Prepare patient supply tickets, track Certificates of Medical Necessity (CMNs), and escalate referral or service issues to the appropriate department.

MINIMUM QUALIFICATIONS

• High School Diploma or GED
• At least 2 years of customer service experience with the ability to multitask in a high call-volume environment
• At least 2 years of clerical experience and working knowledge of medical terminology
• Experience working with Medicaid, MCOs, or other third-party payors
• Familiarity with DME, medical supplies, insurance claims, and prior authorization processes
• Strong attention to detail, organization, and customer communication skills

CORE TOOLS & SYSTEMS

• Patient account and reimbursement systems
• Insurance eligibility and prior authorization systems
• Referral and order processing systems
• DME and medical supply documentation

LEGAL NOTICE

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