by Chris Durst Sept. 21, 2023
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CareCentrix has posted openings for Work from Home Healthcare Customer Solutions Expert – Sleep Management.
In this role, you would “respond to customer issues that may arise during and after order processing.”
Pay starts at $17.50/hr. plus monthly incentive bonuses.
A computer is provided. Paid training is also included.
No state hiring exclusions are noted in the listing.
Benefits appear to be broad.
Here’s what the company has posted about the job:
In this role, you will identify the need(s) of the referring source and/or patient by collecting all necessary data relevant to that need; interpret, verify and process that data to determine if patient is eligible; and facilitate the initiation and termination of the care and services provided in a timely manner. Respond to customer issues that may arise during and after order processing. Actively engages and coordinates with other team members to maintain a positive, collaborative relationship. Works under close supervision.
Responsibilities
In this role you will:
- Work closely with health plans/payers and maintains strong business relationships.
- Provide appropriate issue resolution and/or escalation when needed. Work under moderate supervision, with clinical oversight.
- Participate in and contribute to performance improvement activities.
- Learn, understand and maintain working knowledge of products and services offered by the company.
- Receive and respond to incoming calls or faxes from providers, referral sources, and potential patients.
- Communicate with carrier/health plan representatives, providers, and patients.
- Provides issue resolution and escalation to management when appropriate.
- Document all communications and decisions into a computer database.
- Understand and evaluate patient PAP adherence reports and other mechanisms of therapy.
- Consult applicable Payer Fact Sheets and other available resoureces. Works with other staff and patients to identify potential solutions as problems are identified.
- Assure the completion and coordination of work in an associate’s absence, or as needed, to maintain departmental standards.
- Follow up with servicing providers to ensure authorization to completion as well as ensures timely delivery of services.
- Master the Intake/Verifications function as a second function; Staffing as back-up and learn two health plans.
- Participates in special projects and performs other duties as assigned.
Qualifications
You should reach out if you have:
- A High School Diploma or the equivalent.
- Minimum 1 year work experience in a customer service environment.
- 1 year billing, insurance or claims experience preferred.
- Experience with Medical terminology, insurance verification or healthcare experience preferred.
- Proficiency and are comfortable in a computer-based environment.
- Values of accountability, consistency, engagement, patient compassion, empowerment, respect and outstanding service.
- Excellent communication, customer service and problem solving skills, as well as the ability to effectively interact with all levels of management and highly diverse customers.
What we offer:
- Starting Pay for external hires is $17.50/hr + Monthly Incentive Bonus Opportunity. The pay range included in this posting reflects future growth / earning potential.
- Full range of benefits including Health, Dental and Vision with HSA Employer Contributions and Dependent Care FSA Employer Match.
- Profit Sharing, generous PTO, 401K Savings Plan, Paid Parental Leave, free on-demand Virtual Fitness Training and more.
- Advancement opportunities, professional skills training, and tuition Reimbursement
- Great culture with a sense of community.
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