HEALTHCARE INTAKE SPECIALIST-CALL CENTER REP 12+ month contract/project position, part of huge initiative for healthcare products branch of major company. Located in San Antonio, the Intake Specialist is a Customer Service professional responsible for inbound and outbound calls to healthcare product customers, client partners, medical professionals, hospitals/clinics and consumers. Strong Call Center skills, knowledge or education in healthcare. Multiple job openings
POSITION OVERVIEW: The Healthcare Intake Specialist position qualifies orders for placement based on payers requirements. Acts as the liaison between customer, company, and third-party payer to ensure the order meets regulatory and payer requirements. Obtain and analyze required documentation for shipping of product and billing of claims. POSITION DUTIES: Analyze and prioritize orders based on initial assessment of documentation and customer outreach Verify third party payer benefits and eligibility (online or telephonically). Review and analyze payer specific requirements and coverage criteria to determine required documentation and accurate billing criteria. Conduct in depth review of clinical documentation (medical records, prescriptions, operative reports, history and physicals) based on billing criteria. Call customer or field personnel to obtain missing documentation required for placement and/or billing. Could include home health agencies, patients, hospital/facilities, physicians. Contact patient to coordinate delivery of product. Communicate patients financial responsibility and any special instructions. Follow-up post-delivery to obtain any additional documentation to support billing criteria. Prioritizes and executes based on customer and/or business urgency. Provides a high level of customer service in a competitive market. Acts as a resource for Sales and other cross functional departments to provide order status and any other information. Participates in all reasonable work activities as may be deemed suitable and assigned by management. Conforms to, supports and enforces all Company policies and procedures. Build support and maintain patient, physician, and third-party payer loyalty and to increase the number of orders through enhanced customer services, customer relationship management, and technology utilization. Requires repetitive keyboarding over 95% of the time and phone usage 60% of the time BASIC QUALIFICATIONS: High School Diploma or equivalent. Demonstrated customer service skills. Experience with Microsoft Office applications including Word, Excel and email. Demonstrated ability to deal with all employees and external business contacts while conveying a positive, service-oriented attitude. Demonstrated problem-solving skills. Demonstrated ability to work in a team environment, as well as, independently. Ability to multi-task and adapt in a fast paced and changing environment Demonstrated ability to maintain confidentiality and discretion in business relationships and exercise sound business judgment. Ability to communicate effectively both verbally and in writing. Satisfactory completion of all training programs. PREFERRED QUALIFICATIONS: Two or more years of related healthcare experience. Call Center experience Some college course work completed CORE HOURS: Schedules to support shifts MON-FRI between 8AM and 9PM 2 of the schedules to support TUE-SAT 9AM-6PM
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