Customer Care Specialist

SuperCare Health; Modesto (CA); On-site; USD 21,077 - 35,156; Full time

Benefits offered by this job

Medical

Dental

Vision

401K

Paid Training

Paid Time Off

Job summary

SuperCare Health is seeking an in-person Customer Care Specialist in California to manage orders, verify insurance, and coordinate with patients and providers. The role emphasizes accurate data entry, strong communication, and adherence to policies.

Responsibilities include processing orders for durable medical equipment, assisting patients at the point of service, and maintaining up-to-date knowledge of products and insurance coverage trends.

Qualifications

• Experience with Medical Supply Company.
• Knowledge of diagnosis and Medical terminology.
• Excellent Customer Service skills.
• Be able to work on multiple tasks. Plan and prioritize actives to achieve results and meet deadlines.
• Bilingual Spanish Preferred.

Responsibilities

• Answers incoming calls and faxes; takes orders for durable medical equipment, repairs, supplies.
• Maintains open communication with patients, clients and referral sources.
• Responds to patient/client questions and problems.
• Serves walk-in customers as needed.
• Prepares intake with referral, demographics, contact person, physician, diagnosis, discharge details and items requested.
• Gathers documentation (CMN, Rx, ABG, Care Plan, Auth, etc.).
• Verifies medical necessity with physician and eligibility with insurance.
• Verifies payer and obtains authorization/expiration dates.
• Enters orders in system accurately and timely; processes orders to shipping or dispatching for deliveries.
• Keeps product and insurance coverage knowledge current for patient follow-up.

Skills

Customer service

Detail oriented

Organizational skills

Bilingual Spanish (Preferred)

Tools

Microsoft Word

Outlook

PowerPoint

Job description

“Improving the lives of those with chronic care diseases while providing solutions to our customers.”

NOTE: THIS IS AN IN-PERSON ROLE

Under the general supervision of the Customer Care Supervisor, a Customer Care Specialist is responsible for maintaining a positive, helpful attitude and approach in providing excellent customer service to all customers which includes; patients, clients, referral sources, physicians, sales representatives, and fellow coworkers.

Responsibilities

• Answers incoming phone calls and faxes, takes customers’ orders for durable medical and respiratory equipment, repairs, supplies, and other miscellaneous items
• Maintains open communication with patients/clients and referral sources
• Responds to patient/client questions and problems
• Services walk in customers as needed
• Prepares intake, gathers all necessary information about referral, patient demographics, contact person, physician, diagnosis, discharge time and place, item(s) requested
• Gathers all necessary documentation, prior to delivery CMN, Rx, ABG, Care Plan, Auth, etc.
• Verifies medical necessity with physician
• Verifies eligibility and coverage with Insurance and carrier according to guidelines or contract
• Verifies payer (with matrix), obtains authorization, expiration date
• Verifies patient demographics and prior equipment usage with patient
• Informs patient of financial responsibilities: copay, share of cost, deductible, etc.
• Enters data and each order (new or otherwise) in system accurately and in a timely manner
• Processes closet and on call orders as received
• Enters notes in appropriate areas of insurance, general, and authorizations in the computer system
• Process orders to shipping or dispatching for Technician or RT deliveries
• Remains knowledgeable on product and insurance coverage issues in order to inform patients of copays and other benefit information
• Attends all departmental meetings, company meetings, and in-services
• Reports to work daily and is ready to work at the scheduled start time
• Works Saturday assignment as needed or scheduled
• Performs any other duties that may be requested by supervisor or management
• Understand and adheres to all of SuperCare Health company policies
• To remain knowledgeable to date on all products, guidelines and insurance coverage trends
• Maintain a professional safe and clean work environment.
• Perform all other duties as assigned and required
• Must meet minimum of monthly goals
• Schedule- varying start times
• Fundamental Computer Skills

Education & Work Experience Requirements

• Experience with Medical Supply Company
• Knowledge of diagnosis and Medical terminology
• Excellent Customer Service skills
• Detail oriented
• Previous Management/Supervisor or Lead experience
• Proficiency in Microsoft Word, Outlook, and PowerPoint
• Experience in healthcare, medical and/or HME industry (preferred)
• Be able to work on multiple tasks. Plan and prioritize actives to achieve results and meet deadlines
• Strong organizational skills and detail oriented
• Bilingual Spanish Preferred

Location

• Corporate location is in City of Industry.

Benefits

• Medical
• Dental
• Vision
• Flexible Savings Account
• 401K
• Voluntary Life Insurance
• Observed Holidays: New Year\'s Day, Memorial Day, July 4th, Labor Day, Thanksgiving Day, Christmas Day.

Perks

• Paid Training
• Paid Time Off
• Sick Time
• Growth Opportunities
• Employee Referral Reward ProgramEmployee Discount Program
• Compensation dependent on experience & qualifications with a range of:
  CCS 1 $15.30-$23.63
  CCS 2 $16.20-$25.52

Any employment proposal is contingent upon satisfactory completion of: Background Check, Reference Check(s), Driving Record (if applicable), Pre-employment Drug and TB Tests.