Patient Advocate Representative - OU

CCS Medical; United States; Hybrid; USD 35,000 - 45,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

401(k) with company match

Paid time off

Ongoing training and professional development

Wellness programs and mental health support

Job summary

CCS Medical is seeking a Call Center Patient Advocate Representative I to ensure patient satisfaction and accurate shipping of reorders. The representative will handle documentation and billing needs while providing cross-functional support.

The ideal candidate should possess strong customer service skills and a minimum of a high school diploma or GED. The role may require evening and weekend availability, offering a chance to make a meaningful impact in patient care.

Qualifications

• Minimum High School diploma or GED equivalent. One year of customer service experience in a call center preferred.
• Proficient computer literacy to include strong keyboarding and ability to key data accurately while maintaining strong listening skills.
• Position may require evening and weekend availability.
• Strong attention to detail, multi-tasking, communication, and organizational skills are essential.

Responsibilities

• Obtains and processes authorizations for reorders.
• Resolve patient issues and ensures accurate reorder processing via phone and document processing.
• Ensures patients have all required medical documentation to permit billing of services.

Skills

Customer service experience

Attention to detail

Communication skills

Organizational skills

Education

High School diploma or GED

Tools

CRM software

Job description

Are you looking for a purposeful career that will make a difference in the patient community? At CCS, our approach to at-home patient care is redefining chronic care management. We are seeking individuals that will thrive in a patient-centric dynamic environment. If you are an attentive listener, fast-thinker, and problem-solver, with the ability to relate to different people, you are a match for CCS.

As a Call Center Patient Advocate Representative I, you’ll handle all tasks required to maintain patient satisfaction and ensure accurate and timely shipping of reorders. Provides cross-functional support of all business units to maintain up to date documentation and insurance for accurate processing and billing of patient services.

Alaska, California, Colorado, Delaware, Hawaii, Idaho, Maine, Montana, Nevada, New Hampshire, New York, North Dakota, Rhode Island, South Dakota, Vermont, Washington, Wyoming; residents are not eligible.

Responsibilities

• Obtains and process authorizations for reorders
• Resolve patient issues and ensures accurate reorder processing via phone, document processing, medical record validation, CRM research, cross-functional collaboration, etc.
• Ensures patients have all required medical documentation to permit billing of services as assigned
• Maximizes patient base through retention efforts and cross-selling via phone
• Audits configuration of supplies based on supporting documentation, formulary requirements and manufacturer capabilities.
• Maintains a strong understanding of medical documentation, Insurance requirements and company procedures.
• Maintains a high degree of confidentiality at all times due to access to sensitive information
• Maintains regular, predictable, consistent attendance and is flexible to meet the needs of the department
• Follows all Medicare, Medicaid, HIPAA, and Private Insurance regulations and requirements
• Abides by all regulations, policies, procedures and standards

Qualifications

• Minimum High School diploma or GED equivalenet. One year of customer service experience in a call center preferred.
• Proficient computer literacy to include strong keyboarding and ability to key data accurately while maintaining strong listening skills.
• Position may require evening and weekend availability
• Strong attention to detail, multi-tasking, communication, and organizational skills are essential

Values

Certainty-The lives of the individuals we serve depend on our ability to execute. We commit to doing this every day.

• Use appropriate methods and a flexible interpersonal style to help build a cohesive and collaborative team based on a foundation of trust and transparency. Deliver what you commit to.

Compassion-We understand the burdens of patients and their loved ones and channel this into a relentless pursuit of customer satisfaction in every part of our business.

• Ensure that the patient is the driving force behind business decisions, implementing service practices that meet needs of both the patient and the organization. Treat other the way you want to be treated.

Advancement-We are endlessly looking for ways to progress and become more innovative in all things we do.

• Encourage innovative approaches for addressing opportunities and facilitating change, driving cross-functional alignment to accomplish goals. Speak the truth.

CCS Medical and EEOC/AA employer. M/F/D/V

Company Overview

CCS is the strategic partner addressing America's most pressing healthcare challenges through intelligent chronic care management, tackling the $412 billion annual diabetes burden and chronic conditions affecting over 133 million Americans. At the core of CCS's differentiated model is LivingConnected®, a human-led, digitally-enabled clinical solution. PropheSee™—an AI-powered predictive model that identifies non-adherence risk and delivers personalized interventions— is an integral part of this solution, creating a first-of-its-kind platform to improve adherence, enhance clinical outcomes, and help prevent costly hospitalizations. By combining data-driven insights with three decades of industry relationships, CCS is the smart choice for health plans, providers, employers, and manufacturers who believe that value-based care starts by keeping patients healthy and delivers benefits like lower cost of care, improved HEDIS scores, and alleviating provider burnout. CCS's approach extends clinical reach while supporting over 200,000 people nationwide with home-delivered medical supplies and pharmaceuticals annually. Recognized as a Great Place to Work®, and with numerous peer-reviewed publications validating our care management approach, CCS is more than a trusted supplier—we're a partner in transforming chronic care delivery. To learn more about how CCS is addressing today's healthcare challenges, visit ccsmed.com or connect with us on LinkedIn.

What We Offer

• Bonus/Incentive Opportunities/commission: (if applicable)
• Medical, dental, and vision insurance
• 401(k) with company match
• Paid time off (vacation and holidays)
• Growth & Development:
• Ongoing training and professional development
• Work-Life Balance:
• Remote or hybrid work options (if applicable)
• Wellness programs and mental health support