Customer Service Agent

hace 14 horas

Heredia, Costa Rica GRUPO STT A tiempo completo

Responsible for timely and accurate processes associated with some or all the following:Pre-registrationInsurance verificationPre-CertificationInsurance Notification Responsibilities: Duties will be performed by each individual depending on the assignment of responsibilities:Perform pre-registration and insurance verification within 3-5 days prior to the date of service both inpatient and outpatient services. For notification received within less than days, advanced notice performs within 24 hours of notification.Follow scripted benefits verification and pre-certification format in Meditech custom benefits screen and record benefits and pre-certification information in the approved standard formatAssign Insurance Plans (IPlan’s) accuratelyPerform electronic insurance eligibility confirmation when applicable and document resultsComplete Medicare Secondary Payor Questionnaire as applicable for retention in the imaging system (i.e. OnBase)Calculate patient cost share and be prepared to collect via phone or make payment arrangementContact patient via phone (with as much advance notice as possible, preferably 48 hours prior to the date of service) to confirm or obtain missing demographic information, quote/collect patient cost share, and instruct patient on where to present at the time of appointmentReceive and record payments from patients for services scheduled.Utilize an appropriate communication system to facilitate communication with hospital gatekeeperEnsure appropriate documentation is entered in standard format on the patient record. This should be performed in the applicable Health Information System (i.e. Meditech) and if necessary any other subsidiary systems if they are not automatically updated.Contact physician to resolve issues regarding prior authorization or referral formsResearch Patient Visit History to ensure compliance with payor-specific payment window rulesPerform insurance verification and pre-certification follow-up for prior day’s walk-in admissions/registrations and account status changes by an assigned facility as per SSC guidelines.Communicates with hospital-based Case Manager as necessary to ensure prompt resolution of pre-existing, non-covered, and re-certification issues-Meets/exceeds performance expectations and completes work within the required timeframesImplements and follows system downtime procedures when necessaryPractice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”Other duties as assigned

Leading management consulting and outsourcing firm focused on helping organizations achieve Peak Performance in their Back-Office Operations.

**Requisitos**:
**General Requirements**:English - Spanish Language (Oral and writing 85% or higher), (B2+ or above).Must have a high school diploma or in progress to complete high school.At least 1 year of experience in Customer Service positions.The resource will adjust its local schedule with the resources supporting this position during Daylight Savings time changes in the Eastern Time Zone.A genuine interest in working with and helping customers.Must possess excellent communication skills and involvement.Demonstrated experience in providing high levels of customer satisfaction and performance in a high transaction volume/high demand environment preferred.Good presentation and a polite, tactful and friendly character.Experience with Healthcare is a plus.

Beneficios

Salario Base de 635,000 colones Bono de 180,000 colones (pagados luego de los primeros 60 días una sola vez) Subsídio de transporte mensualmente de 30,000 colones (Este subsídio se pagara siempre y cuando se trabaje en el site 5 días a la semana) Subsídio de transporte Asociación solidarista Seguro de Vida Seguro médico y dental privado Programa de Referidos Alianzas con Universidades y centros de idiomas Muchos otros beneficios mas.

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