
Professional Customer Service Representative
22 hours ago
This role is responsible for providing customer service support and collections via phone calls. The ideal candidate will have experience in RCM/DME for a minimum of 1 year.
The successful candidate will be responsible for making outbound calls to insurance companies, end customers, and performing eligibility verification, obtaining prior authorization, requesting missing or incomplete payer information, updating patient information, and other calls to complete a transaction.
Inbound calls handling would require working as part of a team, delivering a first-class, professional customer service using a range of communication methods to ensure that where possible, customer enquiries, payments, and complaints are resolved at the first point of contact.
Key Responsibilities:- Assess and resolve inquiries, requests, and complaints, primarily over the telephone, ensuring customer inquiries are resolved at the first point of contact.
- Utilize sound judgment and make decisions within established procedures for each service request, including logging, processing, and tracking inquiries. Adhere to agreed Key Performance Indicators, Service Level Agreements, and quality standards to maximize customer satisfaction.
- Manage and update customer interactions daily, generated through workflows and queues, on an account-wise basis.
- Achieve key and critical performance targets.
- Ensure efficiency measures are met in accordance with performance targets and process guidelines.
- Use business tools and industry knowledge updates to identify problem areas and document business requirements through various updates and training sessions.
- Maintain effective work procedures according to client process workflows and policy guidelines.
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