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Customer Service Specialist

Prism Health Care Services Inc

Schaumburg (IL)

On-site

Full time

4 days ago
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Job summary

A leading healthcare services company is seeking a motivated Customer Service Specialist to enhance their team. In this pivotal role, you'll ensure top-notch service by interacting directly with patients, verifying information, and navigating various regulations. Ideal candidates will possess strong customer service skills, a solid foundation in medical office protocols, and the ability to manage multiple tasks effectively. This full-time position offers entry-level responsibilities with opportunities for growth within the company and a supportive team environment.

Benefits

Medical, Dental, and Vision Insurance
401(k) Plan
Paid Time Off (PTO)

Qualifications

  • Minimum of one-year experience in DME or Medical Office Customer Service.
  • Strong knowledge of federal and state regulations.
  • Ability to work independently and as part of a team.

Responsibilities

  • Responsible for all customer service activities and adhering to productivity goals.
  • Answers incoming patient and referral calls; verifies all information.
  • Maintains current knowledge of Medicare and insurance policies.

Skills

Customer Service
Problem Solving
Communication
Time Management
Teamwork

Education

High school diploma or equivalent

Job description

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Basic Function

Under the direction of the Customer Service Lead, this position is responsible for all customer service activities, adhering to process and productivity goals, and maintaining efficiency and high-level customer service.

Starting pay for this role is $18/hr

Please note that the pay provided is a good faith estimate for the position at the time of posting. Actual compensation will be dependent on factors, including but not limited to the individual's qualifications, experience, knowledge, skills and abilities, as well as physical work location within the state.

Benefits

  • Medical, Dental, and Vision Insurance - Coverage begins after 30 days.
  • 401(k) Plan - Eligibility begins after 90 days.
  • Paid Time Off (PTO) - Accrual begins after 90 days.

Requirements

  • High school diploma or equivalent.
  • Minimum of one-year experience in DME or Medical Office Customer Service.
  • Proven performance record in customer service.
  • Strong knowledge of federal and state regulations
  • Demonstrates ability to work successfully with internal and external contacts
  • Strong collaborative and skills in facilitating teamwork
  • Ability to work independently
  • Demonstrate excellent oral and written communication, problem solving, investigational and analytical skills along with excellent listening and interpersonal skills
  • Ability to multi-task, prioritize and manage time effectively

Principle Responsibilities

  • Performs appropriate tasks related to patient discharge and equipment fitting for a comprehensive and complete transition of care.
  • Answers incoming patient and referral calls; verifies all information; use appropriate forms/documents
  • Knowledge of Medicare LCD's and Qualifications for home medical equipment
  • Maintain current knowledge of Medicare, Illinois Public Aid and insurance industry policies and guidelines
  • Interacts in strict adherence to HIPPA compliance regulations and related company policies
  • Receives appropriate paperwork and prescriptions as required
  • Upload required documents to the patient account
  • Works with Quality Assurance to ensure details of referrals are complete and accurate prior to delivery and patient education.
  • Responds to customer requests courteously and with respect
  • Approaches customers and inquiries in a manner which represents ownership
  • Resolves customer complaints by investigating problems and making recommendations to executive leadership
  • Refers troubleshooting calls to appropriate department
  • Reports any patient or referral related problems to Lead immediately
  • Build and maintain positive relationships with referral sources to include education on medical equipment qualification and policy changes
  • Promote company program and services to assigned referral source.
  • Meets monthly and quarterly productivity goals
  • Adherence to the Prism's Employee Handbook
  • Adherence to Prism's Policies and Procedures
  • Supports the mission, vision and strategic plan of the organization.
  • Contributes to team effort by accomplishing related results
  • Communicate necessary information to the Mangers and Co-workers
  • Participate in on-call schedule rotation
  • Attend in-service training when required
  • Performs other duties as assigned

Seniority level
  • Seniority level
    Entry level
Employment type
  • Employment type
    Full-time
Job function
  • Job function
    Customer Service
  • Industries
    Home Health Care Services

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