Patient Representative - Quality Assurance Team Remote

J&B Medical; Wixom (MI); Remote; USD 40,000 - 55,000; Full time

Job summary

A leading company in the healthcare sector is seeking a Quality Assurance Representative to enhance customer satisfaction and service quality. The role involves monitoring order processes, collaborating with teams, and implementing strategies for improvement. Candidates should have experience in customer service and medical billing, with a strong focus on problem-solving and attention to detail. This is a full-time remote position with great benefits.

Benefits

Great Benefits

PTO

Holiday Pay

Qualifications

• 2+ years in a fast-paced customer service role.
• 1+ years in Medical Billing with insurance verification.

Responsibilities

• Research held DME orders and resolve root causes.
• Obtain Prior Authorizations and verify patient plans.

Skills

Problem Solving

Customer Service

Attention to Detail

Education

High School Diploma or GED

Job description

About The Role

The Representative for the Quality Assurance Team plays a crucial role in ensuring that our patients receive the highest level of service and satisfaction. This position involves monitoring and evaluating order processes to identify areas for improvement and to uphold our quality standards. The representative will collaborate closely with team members to develop and implement strategies that enhance customer experience and operational efficiency. By analyzing feedback and performance metrics, this role contributes to the continuous improvement of our service processes. Ultimately, the goal is to ensure the timely release of held patient orders to foster a customer-centric culture that drives loyalty and supports overall customer satisfaction.

HIRING REMOTE IN THE FOLLOWING STATES: AL, FL, GA, IN, KY, LA, MS, NC, SC, TN, TX, VA, & WV

FULL TIME, GREAT BENEFITS, PTO, HOLIDAY PAY & MORE!

Essential Functions

1. Research held DME orders finding and resolving root causes.
2. May require rework of expired prescriptions, changes in patients’ insurance.
3. Verification of changes in patients plans to ensure supplies ship timely.
4. Obtain Prior Authorizations, need for an AOB or other discrepancies.
5. QA team will notify and work through order issues with other teams.
6. Electronic Data Interchange (EDI) file formats 835 & 837 ERA’s changes and corrections.
7. Notes, comments or other relevant information into HDMS system.
8. Inform Team Support or Sr. Team Leader if there are unusual issues or matters requiring attention or intervention.

Position Type

This is an hourly position, during business hours, M-F. Occasional OT, early mornings, evenings, and weekends may be required as workload demands.

Equipment is not provided; you must have your own computer equipment.

Preferred Education And Experience

• 2+ years of experience in a fast-paced customer service role requiring good judgment and proven problem-solving skills in Healthcare, Medical, and/or Insurance.
• 1+ years of experience in a Medical Billing role requiring patient insurance verification and account setup.
• 1+ years of medical billing coding experience.
• High school diploma or GED diploma.
• Medical Billing education is a PLUS!
• Previous experience demonstrating the ability to follow multi-step procedures and apply attention to detail.
• Strong ability to handle multiple tasks at various stages of completion.

Other Duties

All other duties as assigned by management. Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are requested of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.