Experienced Customer Service Representative - Healthcare Specialist – 100% Remote Pennsylvania
At arenaflex, our vision is to be the leader in customer experience by connecting the right people with innovative solutions to deliver outstanding results. We empower and support our employees to reach unimaginable heights while growing our business to make a global impact. Our can-do culture works together to make the ordinary exceptional.
Are you an exceptional listener who AIMS HIGHER.REACHES FARTHER when it comes to challenges and solving problems? Can you ACT BOLD.BE PASSIONATE with your impressive communication skills, empathy, and care for each person you speak with? Can you BE ONE.HELP MANY in a way that provides a positive experience? Do you want to BE DIFFERENT.BE YOU and LEARN MORE.TAKE ACTION?
JOIN OUR TEAM TODAY!
We are hiring an Experienced Customer Service Representative - Healthcare Specialist who will support US-based customers' healthcare benefits questions and concerns regarding their claims, deductibles, coverage, and more. You do not need a background in healthcare or insurance; just a passion for learning and a desire to understand concerns, provide solutions, and make an impact on the lives of others.
Responsibilities:
- Answer inbound calls from US customers and address questions & concerns regarding their healthcare benefits.
- Handle incoming or outgoing phone calls to patients, clients, and other customers while proactively gaining patient and order information.
- Work closely with patients and conduct conversations on therapy changes on targeted medications.
- Knowledge in insurance, healthcare, requirements for dispensing, processing of referrals, and providing customer education and routine assessment and problem identification.
- Must understand HIPAA compliance, as well as ensuring that patients remain adherent and compliant to their specific therapies.
- Must be able to communicate between levels of professionals with engagement with Doctors' offices and Pharmacists.
- Ensure timely and accurate billing for unbilled claims and ensure account payment for outstanding balance while demonstrating excellent customer service to patients.
- Resolve insurance problems and patient issues that may have resulted from incorrect or incomplete information, therapy changes, and pharmacy or shipping errors.
- Maintain supporting chronological notes that detail actions taken to resolve outstanding unbilled claims.