Customer Service Rep- Patient DME - Celina, TEXAS

Quality Assurance Team Representative

The Representative for the Quality Assurance Team plays a crucial role in ensuring that our patients receive the highest level of service and satisfaction. This position involves monitoring and evaluating order processes to identify areas for improvement and to uphold our quality standards. The representative will collaborate closely with team members to develop and implement strategies that enhance customer experience and operational efficiency.

By analyzing feedback and performance metrics, this role contributes to the continuous improvement of our service processes. Ultimately, the goal is to ensure the timely release of held patient orders to foster a customer-centric culture that drives loyalty and supports the overall customer satisfaction.

Essential Functions:

• Research held DME orders finding and resolving root causes.
• May require rework of expired prescriptions, changes in patients' insurance
• Verification of changes in patients plans to ensure supplies ship timely.
• Obtain Prior Authorizations, need for an AOB or other discrepancies.
• QA team will notify and work through order issues with other teams.
• Electronic Data Interchange (EDI) file formats 835 & 837 ERA's changes and corrections.
• Notes, comments or other relevant information into HDMS system.
• Inform Team Support or Sr. Team Leader if there are unusual issues or matters requiring attention or intervention.

Position Type

This is an hourly position, business hours, M-F. Occasional OT, early mornings, evening and weekend work may be required as workload demands.

Requirements:

• 2+ years of experience in a fast-paced customer service role requiring good judgement and proven problem-solving skills in healthcare, Medical and or Insurance.
• 1+ years of experience in a Medical Billing role requiring patient insurance verification and account setup.
• 1+ years of medical billing coding experience
• High school diploma or GED diploma
• Medical Billing education is a PLUS!
• Previous experience demonstrated the ability to follow multi-step procedures and apply attention to detail.
• Strong ability to handle multiple tasks at various stages of completion.

Other Duties

All other duties as assigned by management. Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are the request of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.