Client Operations Associate - Insurance Verification/Customer Service

Client Operations Associate - Insurance Verification/Customer Service

22 Feb 2024
Nevada, Las vegas, 89101 Las vegas USA

Client Operations Associate - Insurance Verification/Customer Service

Vacancy expired!

Client Operations Associate

Join us at PRISM for an exciting new career opportunity!

Caring Team Environment where YOU matter

If you're looking for a career that:

Satisfies your interest in the medical field with values centered around patient care

Gives you a stable, Monday through Friday schedule

Provides unmatched training so you are confident in your ability to help others

Offers opportunities to help patients and make a difference in other lives everyday

then PRISM is the right match for you!

Founded in 2006 and headquartered in Elkin, North Carolina, PRISM is a nationwide provider of specialty home medical supplies with a core competency in advanced wound care products. Most recently, Henry Schein, Inc. the worlds largest provider of health care solutions to office-based dental and medical practitioners, announced the acquisition of a majority ownership position in Prism Medical Products, LLC (PRISM). PRISM serves a broad and loyal referral network of nationally affiliated and independently operated wound care clinics, as well as specialist practices and clinics in primary care, ostomy, podiatry, rehabilitation and physical therapy, general and plastic surgery, dermatology, and vascular medicine. PRISM enjoys strong referral retention rates as well as high marks for customer satisfaction.

We continue to be a fast-growing home medical supply company that serves our community. Consistently delivering our special recipe of quality and reliable service for all patients, medical facilities, and vendors has made us a unique presence nationwide. We are a valued and trusted health care partner.

To apply for this position please visit the following link or our website at www.prism-medical.com/careers

https://www.appone.com/MainInfoReq.asp?RID=5980852

What we offer you:

A competitive pay range - $15-$17/hr

A comprehensive list of health benefits options to choose from

Employer match to 401k contributions

Robust training programs on professional, technical and leadership skills

Paid Holidays (eligible upon hire)

3 Weeks of Paid Time Off (begins to accrue the first of the month following your hire date and monthly thereafter)

Employee Referral Program

Education Reimbursement

Community outreach opportunities

and more!

Position Summary:

The Client Operations Associate in our Insurance Verification department shows informal leadership skills on the floor, presents themselves with a positive and professional demeanor, while being well-rounded in their department. An IVR is there to assist the departments needs and assisting others as needed. Always leading by example, provide high level of service to our clients, and supporting the team as a confident decision maker and resource.

A day in the life of a new Client Operations Associate:

Proficiently navigate current operations software; find and retrieve patient information within the system as it pertains to each patient/facility experience.

Proficient use within Microsoft Outlook applications and how it’s relative to our operations and ability to service our customers with high level client care.

Be knowledgeable of wound care products we provide to our patients and informational resources available; categories, properties, coverage and monthly allowable.

Knowledgeable of all types of required documentation indicating medical necessity.

Ability to evaluate the patient file for issues or errors as well as verifying the order is a valid dispensing or detailed written order

Effectively navigates via Online Portal or IVR for insurance coverage and understands limitations and delegates to the appropriate department for resolution.

Accurately uploading an online or call-in eligibility form for each commercial beneficiary’s order

Know how to resource information as it pertains to your experience.

Know Prism’s scope of service and the geographic areas we operate within.

Focus on the highest industry and regulatory standards with continuous evaluations and improvements to meet national health care organization standards

Effectively communicate with clients to provide documentation to help streamline the ordering process

Answer the phone quickly in a professional and courteous manner and direct calls to the appropriate parties, if necessary.

Ability to deliver dynamic, solution based service to all patients and clinicians.

Be a team member and assist others with duties as needed.

Enhances organization reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments.

Ability to handle a variety of challenging situations in a professional and courteous manner.

Adhere to all company policies and procedures regarding employment, safety and compliance and report any concerns of non-compliance in any area to your manager immediately.

Perform other duties as requested by management.

Hours: Monday-Friday 9am - 6pm

Requirements

High School Diploma or equivalent, Associate or Bachelor degree preferred

Working knowledge of Microsoft Word, Excel and etc.

Effective communication skills, both verbal and written.

Attention to detail

Must be able to work in fast-paced environment

Must be able to professional interact and communicate with individuals at all levels of the organization

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