Member Services Representative, Call Center, Temp to Hire - Phoenix, AZ
Company: NTT DATA
Location: Phoenix
Posted on: October 17, 2024
|
|
Job Description:
Member Service Representative - Insurance Verification
*Call Center
Location: On Site during the Temporary time (Temp to Hire) - 4755
South 44th Place Phoenix, AZ 85040
Hours: Training M-F 8-4:30 Monday - Friday Hours between 7:00AM -
6:30PM, Rotating Saturday Schedule
Position Summary:
This position involves extensive member contact via the telephone.
Handles inbound/outbound calls from participants and/or prescribers
when needed to start and process order requests. Ability to
research and investigate orders using PeopleSafe and LINKS.
Research issues sent by Customer Care, Account Managers, internal
customers and Quality Assurance relative to the customer service
experience. Notifying requestor of decisions, changes, or other
relevant information pertaining to request/inquiry. Responsible for
researching and resolving payment issues. Call to offer a direct
sale of medications to participants and posting payments to the
proper account. Perform required transactions to complete mail
order prescriptions. Follow through on standard operating
procedures, problem-solving and troubleshooting within guidelines.
Ability to work under strict turn-around-times.
As a Participant Services Representative you will be involved with
extensive member contact via the telephone. Handles
inbound/outbound calls from participants and/or prescribers when
needed to start and process order requests. Ability to research and
investigate orders using PeopleSafe and LINKS. Research issues sent
by Customer Care, Account Managers, internal customers and Quality
Assurance relative to the customer service experience. Notifying
requestor of decisions, changes, or other relevant information
pertaining to request/inquiry. Follow through on standard operating
procedures, problem-solving and troubleshooting within guidelines.
Ability to work under strict turn-around-times.
You will be verifying insurance coverage for potential new clients.
Additionally, this person will re-verify insurance coverage for
existing patients in order to process patient prescription needs
successfully and demonstrate excellent customer services to
patients, healthcare professionals, and insurance carriers. This
role will require an understanding of insurance concepts, including
drug cards, major medical benefits, and per diem coverage, as well
as knowledge of government and patient assistance programs. Strong
attention to detail, and proven analytic and problem solving.
Duties :
* Effective delivery of company health coverage products and
services (40%)
* Responds to telephone inquiries and orders from homecare patients
and referral sources.
* Provides information on equipment, supplies and services.
Determines the best method for providing services.
* May assist walk-in patients with the selection of equipment,
supplies and services. Timely processing/facilitation of patient
orders (30%)
* Processes telephone orders by preparing patient paperwork.
* Verifies insurance and/or other method of payment.
* Completes all necessary paperwork in an accurate and efficient
manner to facilitate the data entry, accounts receivable and
delivery of the order placed.
* May perform data entry.
* Distributes copies of paperwork to appropriate personnel.
* May assist with the processing of billing paperwork. Effective
coordination of patient services/supplies (10%)
*Coordinates the delivery, set-up and pick-up of equipment,
supplies and services with appropriate personnel.
* Ensures deliveries and set-ups can be arranged in a timely
manner. Appropriate documentation (10%)
* Accurately maintains files of all patient account profile
information and referral source data. Customer satisfaction
(10%)
* Resolves patient complaints by identifying problems and
coordinating appropriate corrective action.
Minimum Job Qualifications:
* Minimum of 1 year in a customer service or call center
environment (call center type environments preferred, if doctors
office then anything below managing 75 calls/day would not
translate to similar environment).
* 1 year of experience using Microsoft Outlook, Word and Excel in a
work setting.
Preferred Job Requirements:
* 6 months knowledge of Medicare, Medicaid, and health
insurance.
* Experience in a health care setting or insurance industry is a
plus, including knowledge of basic insurance and third party terms
and medical terminology.
* Effective and empathetic communication style in managing inbound
calls and communications with clients and team members.
* Basic alpha number data entry skills with attention to accuracy
and quality is essential.
* Intermediate math skills are required with attention to detail
and quality essential.
* Ability to work with people in a team environment while meeting
individual performance goals.
* Must be able to read and interpret policies, procedures and
instructions.
* Effective organizational skills and ability to prioritize a
fluctuating workload and competing priorities is essential.
Education :
Verifiable High School diploma or GED is required.
About NTT Data Services:
NTT DATA Services is a recognized leader in IT and business
services, including cloud, data and applications, headquartered in
Texas. As part of NTT DATA, a $30 billion trusted global innovator
with a combined global reach of over 80 countries, we help clients
transform through business and technology consulting, industry and
digital solutions, applications development and management, managed
edge-to-cloud infrastructure services, BPO, systems integration and
global data centers. We are committed to our clients' long-term
success. Visit nttdata.com or LinkedIn to learn more.
NTT DATA Services is an equal opportunity employer and considers
all applicants without regarding to race, color, religion,
citizenship, national origin, ancestry, age, sex, sexual
orientation, gender identity, genetic information, physical or
mental disability, veteran or marital status, or any other
characteristic protected by law. We are committed to creating a
diverse and inclusive environment for all employees. If you need
assistance or an accommodation due to a disability, please inform
your recruiter so that we may connect you with the appropriate
team.
#INDHRS
Keywords: NTT DATA, Sun City , Member Services Representative, Call Center, Temp to Hire - Phoenix, AZ, Sales , Phoenix, Arizona
Click
here to apply!
|