Charlotte, North carolina
Medical Call Center Representative Job Opening in Charlotte, North carolina - Coordinates access to therapies, schedules and conducts appropriate follow-up and reminder services.
Facilitates access to appropriate support services, including reimbursement counseling, nursing hotline, and support.
Verifies patient specific benefits and precisely documents specifics for various payer plans including patient coverage, cost share, and access/provider options according to Program specific SOPs.
Verification process could include electronic validation of pharmacy coverage and medical eligibility.
Could include documenting and initiating prior authorization process, claims appeals, etc.
Completes quality review of work as part of finalizing product.
Reports any reimbursement trends/delays to supervisor.
Processes incoming enrollment forms for program.
Follows up via phone, mail, and/or fax (electronic) for missing enrollment information.
Identifies other sources of health care coverage for patients through simple queries.
May include explaining benefit details to a patient or healthcare provider.
Collects and reviews all patient insurance information needed to complete the benefit verification process.
Job Type: Full-time
Salary: $15.00 to $16.00 /hour
Required education:
High school or equivalent
Required experience:
Medical Call Center: 1 year
|
