CHC Solutions Inc is currently seeking an experienced Healthcare CGM Customer Service Specialist to join our team in our Opelika, AL office. This is an in-office position and the hours are from 8:30a.m. to 5:00pm Central Time.
Who we are:
CHC Solutions Inc., is a Family of companies providing comprehensive medical equipment and supplies and patient-focused service. Our goal is to improve the patient experience and support individuals across the continuum of care.
Family brands include Continuum, Burmans Medical Supplies, bioCARE and HealthSource. CHC Solutions provides options for wound care, urology and enteral/nutritional supplies as well as incontinence, orthopedics and ostomy products.
In the Healthcare CGM Customer Service Specialist role, you will do the following:
- Receives orders from referral - collects all information necessary to process the orders.
- Enters the patient’s demographics and order into the billing system, ensuring that all information necessary for order shipment and billing are accurate.
- Verifies insurance eligibility– documenting insurance eligibility information in the patient’s account.
- Assures that necessary clinical documentation including physician medical records, justifies the medical need for the product being provided.
- Communicates with patients throughout the order process to ensure that they understand processing timelines, order delays, and financial responsibility.
- Communicates with referrals regarding any order issues and/or the status of orders - including updating status on Ordering Platforms.
- Notes ALL correspondence with the patient/family, referral or insurance company in the patient’s account utilizing the appropriate standard note format.
- Utilizes a Recur report to identify patients due for a reorder.
- Verifies the signed prescription (LMN) for the recur order is accurate and valid.
- Verifies the Insurance Authorization for the recur order is valid (ensures that the products and quantities are correct).
- Verifies that clinical documentation on file is valid as required by the insurance.
- Updates the Recur Status appropriately based on the outcome of recur order information verification (LMN, Auth, etc)
- Contacts the patient or physician’s office as needed to correct any issues that prevent a recur order from being processed.
- respecting patient care.
- Maintains a positive, empathetic and professional attitude toward customers at all times.
- Acknowledges and resolves customer complaints in a timely and professional manner.
- Provides product education as requested by the patient.
- Participates in educational training on an ongoing basis to maintain knowledge and competency in the products dispensed by the company.
- Experience in a health care environment
- Excellent typing skills and computer literacy skills including Excel
- Excellent verbal and written communication
- Proven time management, organizational skills, multi-tasking, prioritization and follow-up skills in a rapidly changing environment
- Ability to work in a fast-paced environment
- Ability to work independently, while being a productive member of the team
What we offer:
CHC Solutions Inc. values its employees and offers an exceptional benefits package. When submitting your resume, please include your salary requirement.