Medical Customer Service

  • location: Lee's Summit, MO
  • type: Permanent
  • salary: $11 per hour
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job description

Medical Customer Service

Have you ever thought about getting into healthcare? If not, maybe consider it. According to recent reports in Q1 of 2018 $1.62 billion dollars were invested in the healthcare industry. This industry is growing at a rapid rate and there are constant opportunities in the job market!

Customer/Patient Support Specialist
$11.00/HR Starting Pay -Not Negotiable
Mon-Fri (7 am to 4 pm/8-5 pm/8:30 am-5:30 pm) Will have the opportunity to select one of these shifts after training

Job Duties:
?? Interview patients to determine how they can be assisted in receiving authorizations for their medical supplies
?? Assist with medical necessity documentation to expedite approvals and ensure that appropriate follow-up is performed
?? Develop and implement prior authorization work flow, policies and procedures
?? Collaborate with other departments to assist in obtaining pre-authorizations in a cross functional manner
?? Review accuracy and completeness of information requested and ensure that all supporting documents are present
?? Receive requests for pre-authorizations and ensure that they are properly and closely monitored
?? Consult with supervisor or nurse manager to obtain clearance that treatment regimen is considered a medical necessity
?? Process referrals and submit medical records to insurance carriers to expedite prior authorization processes
?? Manage correspondence with insurance companies, physicians, specialists and patients as required
?? Look through denials and submit appeals in a bid to get them approved from insurance companies
?? Create patients?? records and accounts and ensure that pre-authorization information is properly updated in them
?? Secure patients?? demographics and medical information by using great discretion and ensuring that all procedures are in sync with HIPPA compliance and regulation

Working hours: 7:00 AM - 4:00 PM

Customer Focused
Detail Oriented
Quick Study
Can Learn new Processes Quickly

Strong computer skills and knowledge
Desire to work in the healthcare field
Reliable and up for learning a complex and challenging process

Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.
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