Patient DME Quality Assurance Specialist — Improve Order Flow

Jandbmedical; Leesburg (FL); Vor Ort; USD 25.000 - 39.000; Vollzeit

Zusammenfassung

Jandbmedical in Leesburg, FL seeks a full-time Quality Assurance Representative to monitor held patient orders, resolve root causes, and improve order processes. You will collaborate with QA and other teams to ensure timely release of held orders and enhance overall customer satisfaction.

The role requires 2+ years in customer service within healthcare/insurance, 1+ year in medical billing and coding, and a high school diploma, with occasional overtime expectations.

Qualifikationen

• 2+ years of customer service experience in healthcare/insurance.
• 1+ years of medical billing and insurance verification.
• 1+ years of medical billing coding experience.
• Medical Billing education is a PLUS!
• Strong multi-step processing and attention to detail.
• Ability to handle multiple tasks at various stages.

Aufgaben

• Research held DME orders finding and resolving root causes.
• Verify changes in patients plans to ensure supplies ship timely.
• Obtain Prior Authorizations, need for an AOB or other discrepancies.
• Notes, comments or other relevant information into HDMS system.
• Inform Team Support or Sr. Team Leader if there are unusual issues or matters requiring attention or intervention.
• EDI file formats 835 & 837 ERA’s changes and corrections.

Kenntnisse

Customer service

Problem solving

Attention to detail

Multitasking

Ausbildung

High school diploma or GED diploma

Jobbeschreibung

Jandbmedical in Leesburg, FL seeks a full-time Quality Assurance Representative to monitor held patient orders, resolve root causes, and improve order processes. You will collaborate with QA and other teams to ensure timely release of held orders and enhance overall customer satisfaction.

The role requires 2+ years in customer service within healthcare/insurance, 1+ year in medical billing and coding, and a high school diploma, with occasional overtime expectations.