Patient Advocate Representative - OU

CCS Medical, Inc.; United States; Remote; USD 10,000 - 60,000; Full time

Job summary

An established industry player is seeking a dedicated individual to enhance patient satisfaction through effective order processing and customer service. This role involves ensuring timely shipping of medical supplies and maintaining accurate documentation for billing. The ideal candidate will possess strong communication and organizational skills, with a keen attention to detail and the ability to multitask effectively. Join a compassionate team committed to improving patient experiences and driving innovative solutions in a supportive environment. If you are passionate about customer service and eager to make a difference, this opportunity is perfect for you.

Qualifications

• Minimum one year of customer service experience in a call center preferred.
• Proficient computer literacy and strong keyboarding skills required.

Responsibilities

• Handle patient satisfaction and ensure accurate shipping of reorders.
• Process authorizations and resolve patient issues via phone and documentation.

Skills

Customer Service

Attention to Detail

Communication Skills

Organizational Skills

Multi-tasking

Computer Literacy

Education

High School Diploma or GED

Job description

Overview

Primary responsibilities include handling 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.

Responsibilities

• Obtains and processes authorizations for reorders.

• Resolves 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.

Desired Outcomes

• Exercises appropriate cost control measures.

• Maintains positive internal and external customer service relationships.

• Maintains open lines of communication.

• Plans and organizes work effectively and ensures its completion.

• Meets all productivity requirements.

• Demonstrates team behavior and promotes a team-oriented environment.

• Actively participates in Continuous Quality Improvement.

• Represents the organization professionally at all times.

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.

• Exceptional phone and email etiquette.

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 the needs of both the patient and the organization. Treat others 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