Prior Auth Jobs in Remote, OR (NOW HIRING)

Improving the lives of those with chronic care diseases while providing solutions to our customers."

Looking for a new opportunity? At SuperCare Health you have the chance to reach your dreams by helping us in serving the healthcare needs of our ever-growing patient population. Matching passion with careers, here hard work has never been so satisfying.

**PLEASE NOTE THIS IS AN IN-PERSON ROLE**

Essential Duties:

Under the general supervision of the Customer Care Supervisor, a Customer Care Specialist is responsible for maintaining a positive, helpful attitude and approach in providing excellent customer service to all customers which includes; patients, clients, referral sources, physicians, sales representatives, and fellow coworkers.

Responsibilities:

• Answers incoming phone calls and faxes, takes customers' orders for durable medical and respiratory equipment, repairs, supplies, and other miscellaneous items
• Maintains open communication with patients/clients and referral sources
• Responds to patient/client questions and problems
• Services walk in customers as needed
• Prepares intake, gathers all necessary information about referral, patient demographics, contact person, physician, diagnosis, discharge time and place, item(s) requested
• Gathers all necessary documentation, prior to delivery CMN, Rx, ABG, Care Plan, Auth, etc.
• Verifies medical necessity with physician
• Verifies eligibility and coverage with Insurance and carrier according to guidelines or contract
• Verifies payer (with matrix), obtains authorization, expiration date
• Verifies patient demographics and prior equipment usage with patient
• Informs patient of financial responsibilities: copay, share of cost, deductible, etc.
• Enters data and each order (new or otherwise) in system accurately and in a timely manner
• Processes closet and on call orders as received
• Enters notes in appropriate areas of insurance, general, and authorizations in the computer system
• Process orders to shipping or dispatching for Technician or RT deliveries
• Remains knowledgeable on product and insurance coverage issues in order to inform patients of copays and other benefit information
• Attends all departmental meetings, company meetings, and in-services
• Reports to work daily and is ready to work at the scheduled start time
• Works Saturday assignment as needed or scheduled
• Performs any other duties that may be requested by supervisor or management
• Understand and adheres to all of SuperCare Health company policies
• To remain knowledgeable to date on all products, guidelines and insurance coverage trends
• Maintain a professional safe and clean work environment.
• Understand and adheres to all of SuperCare Health company policies.
• Perform all other duties as assigned and required
• Must meet minimum of monthly goals
• Schedule- varying start times
• Fundamental Computer Skills

Education and or Work Experience Requirements:

• Experience with Medical Supply Company
• Knowledge of diagnosis and Medical terminology
• Excellent Customer Service skills
• Detail oriented
• Proficiency in Microsoft Word, Outlook, and PowerPoint
• Experience in healthcare, medical and/or HME industry (preferred)
• Be able to work on multiple tasks. Plan and prioritize actives to achieve results and meet deadlines
• Strong organizational skills and detail oriented

Location

• Roseburg, OR

Any employment proposal is contingent upon satisfactory completion of: Background Check, Reference Check(s), Driving Record (if applicable), Pre-employment Drug and TB Tests

What Rick's Medical Supply is About

"We treat our customers like family. Rick's Medical Supply, Inc. has been the source for medical supplies and equipment in the Roseburg, OR area for over forty years because of our superior commitment to provide you with the absolute best in product quality and customer service. Our highly trained staff will help you make the best choices for your needs, while providing you with friendly service and expert advice. Every effort is made to ensure that your experience is as pleasant and efficient as possible. Stop by and see us! Our business is your good health."

Connect With Us!

Company Website https://ricksmedical.com/

Company Business Hours - 8:30 AM 5:30 PM PST

LinkedIn https://www.linkedin.com/company/rick-s-medical-supply/

Facebook https://www.facebook.com/ricksmedicalsupply

Araceli Richardson - Jr. Recruiter LinkedIn