Customer Service Rep II - PHC - Las Vegas, NV
 Lincare Holdings | |
 United States, Nevada, Las Vegas | |
 Sep 22, 2024 | |
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This employee serves as the subject matter expert in all Customer Service responsibilities, primarily responsible for accurately, thoroughly, and in a time-sensitive manner, processing patient orders and providing clear and timely communication to all stakeholders.
* Responds to telephone inquiries and orders from patients and referral sources * May assist walk-in patients with the selection of equipment, supplies, and services * Determines resolution of patient and referral inquiries, questions, or concerns * Identifies concerns and ensures they are recorded in Concern Tracker system when appropriate * Completes electronic intake process in billing system, performs verification of insurance, and reviews all documentation for accuracy in order to qualify patient for services * Contacts patients to inform them of any patient payment requirements, collects payment, and determines best delivery method, providing instructions for receiving delivery * Understands and abides by Accreditation Commission for Health Care (ACHC) requirements * May need to understand and interpret Medicare guidelines and qualifying documentation * Thoroughly understands payer and utilization guidelines * May process insurance authorization and follow up on requests as needed * Establishes positive relationships with referral sources and builds rapport with internal and external customers * May be required to perform quality assurance process, confirming accuracy of orders prior to submission for reimbursement * Understands C-PAP compliance guidelines as required by assignment, or has obtained knowledge of rehab specialty equipment and coverage criteria * Consistently meets Quality Assurance score of 85% or above #CSR | |