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Healthcare Customer Service Representative - 100% remote

PRIDE Healthcare San Antonio, TX

  • Expired: 28 days ago. Applications are no longer accepted.
Job Description


The Healthcare Intake Specialist position qualifies orders for placement based on payer’s requirements. Acts as the liaison between customer, third-party payer to ensure the order meets regulatory and payer requirements. Obtain and analyze required documentation for shipping of product and billing of claims.


Position Duties:


• Analyze and prioritize orders based on initial assessment of documentation and customer outreach

• Verify third party payer benefits and eligibility (online or telephonically).

• Review and analyze payer specific requirements and coverage criteria to determine required documentation and accurate billing criteria.

• Conduct in depth review of clinical documentation (medical records, prescriptions, operative reports, history and physicals) based on billing criteria.

• Call customer or field personnel to obtain missing documentation required for placement and/or billing. Could include home health agencies, patients, hospital/facilities, physicians.

• Contact patient to coordinate delivery of product. Communicate patient’s financial responsibility and any special instructions.

• Follow-up post-delivery to obtain any additional documentation to support billing criteria.

• Prioritizes and executes based on customer and/or business urgency.

• Provides a high level of customer service in a competitive market.

• Acts as a resource for Sales and other cross functional departments to provide order status and any other information.

• Participates in all reasonable work activities as may be deemed suitable and assigned by management.

• Conforms to, supports and enforces all Company policies and procedures.

• Build support and maintain patient, physician, and third-party payer loyalty and to increase the number of orders through enhanced customer services, customer relationship management, and technology utilization.

• Requires repetitive keyboarding over 95% of the time and phone usage 60% of the time


Basic Qualifications:


• High School Diploma or equivalent.

• Demonstrated customer service skills.

• Experience with Microsoft Office applications including Word, Excel and email.

• Demonstrated ability to deal with all employees and external business contacts while conveying a positive, service-oriented attitude.

• Demonstrated problem-solving skills.

• Demonstrated ability to work in a team environment, as well as, independently.

• Ability to multi-task and adapt in a fast paced and changing environment

• Demonstrated ability to maintain confidentiality and discretion in business relationships and exercise sound business judgment.

• Ability to communicate effectively both verbally and in writing.

• Satisfactory completion of all training programs.


Preferred Qualifications:


• Two or more years of related healthcare experience.

• Call Center experience

• Some college course work completed


PRIDE Healthcare

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San Antonio, TX




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