Job Details

JOB DESCRIPTION
• Manage Program wide fax number and distribute faxes to appropriate team members by uploading into program software.
• Answer program 800 phone line
• Provides support for inquiries from internal and external customers regarding
account/authorization status. Maintains updated information on patient accounts.
• Handles internal and external customer inquiries regarding authorization status
and insurance verification history.
• Actively participates in team initiatives and in team status meetings; Additional team activities, projects, and workflow as assigned.
• Actively participates in process and service improvement activities.
• Encourages and supports staff members in the pursuit of service
excellence.
• Develops understanding of our client therapies within pain interventions space
• Performs eligibility verifications on patient accounts as new insurance
plans/carriers are identified; updates information on expired insurance
plans/carriers.
• Meets or exceeds key performance indicators measuring productivity, quality,
• and service level as defined by Senior Management.
• Research issues off-line as needed with payor/physicians/ patient; conducts
follow-up calls with customers, initiating conference calls between insurance carrier and patients to resolve customer concerns.
• Initiates follow-up activities regarding open authorizations and makes written and verbal inquiries to payors. Analyzes and problem-solves account issues to full resolution.
• Answers all calls and inquiries with professionalism and seeks to have "one call resolution."