What are the responsibilities and job description for the Customer Service Insurance Representative position at Clear Management Group?
Job Summary
We are seeking a dedicated and enthusiastic Customer Service Representative to join our team. In this role, you will be the first point of contact for our customers, providing exceptional service and support. You will be responsible for addressing inquiries, resolving issues, and ensuring customer satisfaction while effectively communicating. The customer service representative will also have expertise in verifying insurance benefits for out-of-network facilities. The ideal candidate will possess comprehensive knowledge of out-of-network insurance policies and procedures, as well as demonstrated proficiency in accurately assessing and interpreting insurance benefits.
Job Responsibilities
1. Insurance Verification and Benefit Management
2. Verify insurance benefits for patients, including deductibles, and complete Verification of Benefits (VOB) forms.
3. Gather and input patient information into company systems, ensuring accuracy and timely updates.
4. Upload completed VOB forms to designated document management platforms.
5. Regularly review and update master reports, addressing missing patient information and ensuring data completeness.
6. Perform quality control checks on reports and submit missing information reports to relevant parties.
7. Client Communication and Coordination
8. Communicate professionally with clients via email and phone to address inquiries and obtain additional information when needed, such as coordination of benefits (COB), updated insurance details, or assignment of benefits (AOB).
9. Monitor and respond to the customer service email inbox throughout the day, ensuring timely follow-up.
10. Forward credit card payment information to appropriate internal entities as required.
11. Maintain and update authorization tracking sheets, ensuring all data is accurate and current.
12. Monitor relevant platforms for updates regarding authorizations and take appropriate follow-up actions.
13. Conduct authorization audits and participate in review meetings to ensure compliance and accuracy.
14. Prepare monthly authorization spreadsheets and manage daily reporting requirements.
15. Provide team members with regular updates and reports related to authorizations and patient insurance statuses.
Administrative and Organizational Tasks
1. Schedule, coordinate, and prepare for meetings, including drafting agendas and distributing meeting notes.
2. Order office supplies and manage inventory to support staff needs.
3. Draft and maintain policies, procedures, and collection/pre-collection letters for patients requiring additional documentation.
4. Take on additional administrative projects and tasks as assigned to ensure smooth operational workflows.
5. Operational Support and Errands
6. Perform routine errands, such as checking the mailbox, handling office-related tasks, and addressing work-related needs.
7. Support the team and organization by maintaining open communication, delivering high-quality work, and proactively addressing operational needs.
Skills
- Strong communication skills with the ability to convey information clearly and effectively.
- Proficiency in negotiating to reach mutually beneficial outcomes.
- Knowledge of HIPAA regulations is a plus for handling sensitive information.
- Familiarity with benefits administration and sales administration processes is preferred.
- Ability to analyze data and market trends to enhance customer engagement strategies.
- Excellent problem-solving skills with a focus on customer satisfaction.
- A positive attitude and willingness to learn in a fast-paced environment.
Join us in delivering outstanding service that makes a difference!
Job Types: Part-time, Temporary
Pay: $17.00 - $18.50 per hour
Expected hours: 20 – 40 per week
Work Location: Hybrid remote in Bakersfield, CA 93314
Salary : $17 - $19