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Customer Care Team Member
SYRACUSE NY 13203
Category: Other
  • Your pay will be discussed at your interview

Job code: lhw-e0-90668938

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St. Joseph's Health (Syracuse, NY)

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Summary

  Job posted:   Thu Jun 7, 2018
  Distance to work:   ? miles
       
  1 Views, 0 Applications  
 
Customer Care Team Member
Customer Care Team Member





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Department


Franciscan Management Services




Status


Part Time




Shift


day




Hours


flexible




Req Number


16463




Job Details


POSITION TITLE: CUSTOMER CARE REPRESENTATIVEMISSION: We are passionate healers dedicated to honoring the Sacred in our sisters and brothers.POSITION SUMMARY: Receives, reviews, and verifies all service needs and information. Generates and coordinates delivery specifications. Maintains proper computer functions for these services. Prepares necessary documentation for all payors. Obtains required documentation to file necessary appeals with all insurances. Obtains required compliance documentation to continue coverage of equipment dispensed. Answers and directs telephone calls to the appropriate staff ensuring good communication. EDUCATION, TRAINING, AND EXPERIENCE: CERTIFICATION/LICENSURE: Associates degree in business/accounting/health care field or two-three years of previous customer service experience. Working knowledge of Medicare, Medicaid, and third party carriers' eligibility and claim filing requirements desired.SPECIAL EQUIPMENT, SKILLS, OR OTHER REQUIREMENTS: Telephones, computer and office machines. Computer and calculator skills and math aptitude required. WORK ENVIRONMENT AND HAZARDS: Works indoors; performs normal office work. Potential for some patient contact.WORK CONTACT GROUP: All departments. SPECIAL PHYSICAL DEMANDS: No extraordinary physical demands required. ESSENTIAL FUNCTIONSGENERAL PERFORMANCE CRITERIA: 1. Answers all telephone lines in an appropriate manner according to policy and routes calls to the proper person. When personnel are unavailable for telephone calls, transfers caller to voice mail or records and delivers messages as appropriate.2. Greets visitors and ensures that each person waits in comfort with definite expectations of when and how they will be served. Announces visitor to appropriate individual.3. Uses appropriate diction and grammar in conversations. Employs professional dress, manners, and tact in all dealings. Maintains confidentiality of patient and employee business.4. Receives and handles all requests including the following:? New referrals? Reorders of supplies and equipment? Customer order and delivery concerns and complaints? Equipment and service inquiries? Medical documentation and patient forms request questions? Pricing inquiries5. Secures all new patient demographic information; as well as updates/verifies demographic information with every call.6. Verifies insurance benefits and assists in planning alternate payment plans, if necessary, using proper procedures and protocols. Gains verbal and/or written pre-authorization/PC verification where necessary and when required.7. Verifies that equipment/supplies are available for delivery. Coordinates special order items and back order items with purchasing agent and delivery personnel. Verifies cost and retail price of special items.8. Enters patient information and ordered products/services into the computer system and ensures that proper pricing is established for the patient.9. Generates sales orders.10. Communicates with physician offices and insurance carriers regarding medical documentation required for claim submission.11. Performs on-call duties as requested by the Director of Customer Care.12. Educates staff members at all locations in documentation and testing guidelines necessary to obtain reimbursement.13. Remain current on updates/changes in reimbursement criteria for all insurances.14. Investigates questions concerning reimbursement with insurances as necessary.15. Is knowledgeable in use of switchboard and its operation.16. Responsible for creating/maintain patient EMR per policy. 17. Performs other duties as needed and requested.














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