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Customer Service Representative

Wilmington Health

Customer Service Representative

Wilmington, NC
Full Time
Paid
  • Responsibilities

    ABOUT WILMINGTON HEALTH

    Since 1971, Wilmington Health has been committed to the care and health of our community in Wilmington as well as all of Southeastern North Carolina. Wilmington Health is structured as a multi-specialty medical practice with primary care providers integrated into the system. In this way, Wilmington Health is able to provide a comprehensive and coordinated approach to the care of all our patients. Wilmington Health is committed to using collaborative, evidence-based medicine in providing the highest quality of care to the patients we serve.

    ESSENTIAL DUTIES/RESPONSIBILITIES:

    • Schedule surgeries at New Hanover Regional Medical Center for all providers for all off-site procedures
    • Verify benefits for patients once scheduled for a procedure at NHRMC or SurgCare ONLY
    • Obtain Prior Authorizations for procedures scheduled at NHRMC or SurgCare ONLY; all in house procedures are still to be sent to and handled by Wilmington Health Managed Care department
    • Obtain Prior Authorizations for VLA procedures
    • Review benefit information with the patients
    • Calculate and collect payments for upcoming procedures done at NHRMC or SurgCare ONLY
    • Set up appropriate payment plans for patient according to Wilmington Health’s policy as well as surgery department provider preferences
    • Obtain all authorizations for VA patients including radiology, referrals and surgeries
    • Serve as Davita Dialysis Coordinator for the department which entails:
    1. Scheduling dialysis patient appointments
    2. Serve as central contact for the department between 13 Davita locations and our clinical staff

    OTHER DUTIES:

    • As assigned by manager

    QUALIFICATIONS

    REQUIRED:

    • High School diploma or equivalency

    PREFERRED:

    • Experience with insurance benefits, authorizations and managed care
    • 2-5 years experience in a surgery scheduling role

    Required Skills

    ADA PHYSICAL DEMANDS:

    Rarely (Less than .5 hrs/day) Occasionally (0.6 – 2.5 hrs/day) Frequently (2.6 – 5.5 hrs/day) Continuously (5.6 – 8.0 hrs/day)

    PHYSICAL DEMAND

    REQUIRED?

    FREQUENCY

    Standing

     

    Occasionally

    Sitting

    Frequently

    Walking

    Occasionally

    Kneeling/Crouching

    Rarely

    Lifting

    Rarely

    Required Experience

  • Qualifications

    ADA PHYSICAL DEMANDS:

    Rarely (Less than .5 hrs/day) Occasionally (0.6 – 2.5 hrs/day) Frequently (2.6 – 5.5 hrs/day) Continuously (5.6 – 8.0 hrs/day)

    PHYSICAL DEMAND

    REQUIRED?

    FREQUENCY

    Standing

     

    Occasionally

    Sitting

    Frequently

    Walking

    Occasionally

    Kneeling/Crouching

    Rarely

    Lifting

    Rarely

  • Industry
    Hospital and Health Care