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Patient Services Representative in Fort Mill, SC at Acro Service Corporation

Date Posted: 11/29/2018

Job Snapshot

Job Description

 

Patient Services Representative, Fort Mill, SC

Inbound Phone Queue/General Program Inquires

Determination for support programs (Copay, PAP, Medicaid, etc.)

Pharmacy triage and coordination

Order processing for wholesale orders

Other follow-up activities (missing info, prior authorization, etc.)

Intakes and reports adverse events as directed.

Researches and resolves any claim denials or underpayment of claims.

Effectively utilizes various means for collecting information using approved methods, which could include phone, fax, mail, and online methods.

Provides exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly.

Reports any trends or delays to program management (e.g. billing denials, claim denials, pricing errors, payments, etc.).

Ensures all program correspondence and communication (phone, fax, mail, etc) meets quality standards.

Works with patient, provider and or internal shared services to ensure all necessary documentation is received and complete in accordance with program policy.

Works on problems of moderate scope where analysis of data requires a review of a variety of factors.

Exercises judgment within defined standard operating procedures to determine appropriate action.

High school diploma or GED required. Requires broad training in fields such as business administration, accounting, computer sciences, medical billing and coding, customer service or similar vocations generally obtained through completion of a two-year associate’s degree program, technical vocational training, or equivalent combination of experience and education. Three years (3) + years directly related and progressively responsible experience required.

A two-year degree can be used in lieu of 2 years of the experience requirement or a four-year degree in lieu of the experience requirement.

Strong organizational skills and attention to detail.

General knowledge of accounting principles, pharmacy operations, and medical claims.

General knowledge of health care billing preferred.

Ability to proficiently use Microsoft Excel, Outlook and Word.

Developing professional expertise; applies company policies and procedures to resolve a variety of issues.

The noise level in the work environment is consistent with an office setting.

Sedentary physical activity requiring reaching, sifting, lifting, finger dexterity, grasping, feeling, repetitive motions, talking and hearing.

Visual requirement is for close vision, distance vision, peripheral vision and ability to adjust focus.

75% or more time is spent looking directly at a computer.

Ability to deal with stressful situations as they arise.

*Beyond*

The Company is an Equal Opportunity Employer (EOE) and offers any job opportunity to any qualified candidate without regard to age, race, gender, national origin, physical appearance, sexual orientation, etc.