Job Description
Job Description
Coram/CVS Health is looking for a high-energy healthcare professional to join our team as a Quality Assurance Rep! Responsible for initiating the admissions process for patient referrals by collecting demographic and insurance information on patients over the phone and acting as the primary contact for new and existing accounts.
Key Responsibilities:
* Responds to telephone, fax, and orders from referral sources and patients.
* Documents referral request for coordination of care.
* Provides information on home infusion services.
* Demonstrates professional etiquette and courtesy when interfacing with customers.
* Resolves patient/customer complaints by identifying problems and coordinating appropriate corrective action.
* Complies with and adheres to all regulatory compliance areas, policies and procedures and "best practices".
* Investigates type and level of insurance coverage to assess patient eligibility for the program.
* Communicates with medical professionals and insurance company personnel to expedite patient eligible into program.
* Resolves reimbursement issues with accounts, sales force and management.
* Completes data entry in CPRS to ensure accuracy of reporting and outcomes.
* Investigates data entry issues to ensure accurate reporting and billing.
* Monitors computerized reports to avoid delays in customer billing information.
* Performs other duties and responsibilities as assigned.
Typical work hours for this position are Monday - Friday, with an 8 hours shift between 6:00 AM - 6:00 PM, with an opportunity for over-time based on business need. This is a full-time, permanent career that offers excellent Medical, Dental and Vision coverage, a competitive 401k, and additional benefits.
Required Qualifications
- Minimum two years of related experience.
- Strong service orientation and customer service attitude.
- Effective verbal and written communications skills.
- Excellent detail orientation and time management skills.
- Proficiency with Microsoft business software.
Preferred Qualifications
- Home infusion or durable medical equipment (DME) experience.
- Experience working in a healthcare environment.
- Experience working with healthcare insurance verification or obtaining medical authorizations.
Education
Verifiable High School Diploma or GED is required.
Business Overview
At Coram, a CVS Health business, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.
Coram/CVS Health is looking for a high-energy healthcare professional to join our team as a Quality Assurance Rep! Responsible for initiating the admissions process for patient referrals by collecting demographic and insurance information on patients over the phone and acting as the primary contact for new and existing accounts.
Key Responsibilities:
* Responds to telephone, fax, and orders from referral sources and patients.
* Documents referral request for coordination of care.
* Provides information on home infusion services.
* Demonstrates professional etiquette and courtesy when interfacing with customers.
* Resolves patient/customer complaints by identifying problems and coordinating appropriate corrective action.
* Complies with and adheres to all regulatory compliance areas, policies and procedures and "best practices".
* Investigates type and level of insurance coverage to assess patient eligibility for the program.
* Communicates with medical professionals and insurance company personnel to expedite patient eligible into program.
* Resolves reimbursement issues with accounts, sales force and management.
* Completes data entry in CPRS to ensure accuracy of reporting and outcomes.
* Investigates data entry issues to ensure accurate reporting and billing.
* Monitors computerized reports to avoid delays in customer billing information.
* Performs other duties and responsibilities as assigned.
Typical work hours for this position are Monday - Friday, with an 8 hours shift between 6:00 AM - 6:00 PM, with an opportunity for over-time based on business need. This is a full-time, permanent career that offers excellent Medical, Dental and Vision coverage, a competitive 401k, and additional benefits.
Required Qualifications
- Minimum two years of related experience.
- Strong service orientation and customer service attitude.
- Effective verbal and written communications skills.
- Excellent detail orientation and time management skills.
- Proficiency with Microsoft business software.
Preferred Qualifications
- Home infusion or durable medical equipment (DME) experience.
- Experience working in a healthcare environment.
- Experience working with healthcare insurance verification or obtaining medical authorizations.
Education
Verifiable High School Diploma or GED is required.
Business Overview
At Coram, a CVS Health business, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.
We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.
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