Patient Advocate Representative - Ou

Overview:

Are you looking for a purposeful career that will make a difference in the patient community? At CCS, our approach to at-home patient care is redefining chronic care management. We are seeking individuals that will thrive in a patient-centric dynamic environment. If you are an attentive listener, fast-thinker, and problem-solver, with the ability to relate to different people, you are a match for CCS.

As a Call Center Patient Advocate Representative I, you’ll handle all tasks required to maintain patient satisfaction and ensure accurate and timely shipping of reorders. Provides cross-functional support of all business units to maintain up to date documentation and insurance for accurate processing and billing of patient services.

Responsibilities:

• Obtains and process authorizations for reorders
• Resolve patient issues and ensures accurate reorder processing via phone, document processing, medical record validation, CRM research, cross-functional collaboration, etc.
• Ensures patients have all required medical documentation to permit billing of services as assigned
• Maximizes patient base through retention efforts and cross-selling via phone
• Audits configuration of supplies based on supporting documentation, formulary requirements and manufacturer capabilities.
• Maintains a strong understanding of medical documentation, Insurance requirements and company procedures.

• Maintains a high degree of confidentiality at all times due to access to sensitive information
• Maintains regular, predictable, consistent attendance and is flexible to meet the needs of the department

• Follows all Medicare, Medicaid, HIPAA, and Private Insurance regulations and requirements
• Abides by all regulations, policies, procedures and standards

Qualifications:

• Minimum High School diploma or GED equivalenet. One year of customer service experience in a call center preferred.
• Proficient computer literacy to include strong keyboarding and ability to key data accurately while maintaining strong listening skills.
• Position may require evening and weekend availability
• Strong attention to detail, multi-tasking, communication, and organizational skills are essential
• Exceptional phone and email etiquette

Values:

• Use appropriate methods and a flexible interpersonal style to help build a cohesive and collaborative team based on a foundation of trust and transparency. Deliver what you commit to.

• Ensure that the patient is the driving force behind business decisions, implementing service practices that meet needs of both the patient and the organization. Treat other the way you want to be treated.

• Encourage innovative approaches for addressing opportunities and facilitating change, driving cross-functional alignment to accomplish goals. Speak the truth.