Insurance Verification Associate - In Office 9a-6p: PTO and Benefits

Title
Insurance Verification Associate - In Office 9a-6p: PTO and Benefits


Description

Come for a job, stay for a career!

The Client Operations Team Member is crucial to the success of the company! With positions ranging from Intake to Order Processing, here at Prism, we believe that each employee should be given the opportunity to grow and advance in their career.

A day in the life of a new Client Operations Team Member:

1. Creates and maintains patient files with accuracy and efficiency according to departmental procedures and guidelines within deadlines with or without supervision
2. Each representative in Intake will be responsible for reaching the minimum upload standards of 135 per day within 30 days and maintain that standard each day
3. Will review discrepancies in data received and assign them to the appropriate department
4. Will verify patient name, address, and primary insurance is correct in the patient file to prevent patient file documentation, billing, or shipping errors
5. Ensure Additional Documentation items received are uploaded, labeled, and moved to the correct designated location

After 90 - 120 days, a Client Operations Team Member could become responsible for:

1. Proficient navigation of current operations software; find and retrieve patient information within the system as it pertains to each patient/facility experience.
2. 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.
3. Gaining knowledge of wound care products we provide to our patients and informational resources available; categories, properties, coverage and monthly allowable.
4. Becoming knowledgeable of all types of required documentation indicating medical necessity.
5. Gaining ability to evaluate the patient file for issues or errors as well as verifying the order is a Service Request or Standard Written Order.
6. Knowing how to resource information as it pertains to your experience.
7. Knowing Prism's scope of service and the geographic areas we operate within.
8. Effectively processing all verified patient orders to ensure industry leading delivery time.
9. Accurately shipping a minimum daily quota of up to 40 orders.
10. Providing routine order status notification to referring facilities with respect to the patient order.
11. Answering the phone quickly (once trained) in a professional and courteous manner and direct calls to the appropriate parties, if necessary.
12. Delivering solution based service to all patients and clinicians.

Why you'll love working here:

• Stable schedule
• Monday-Friday (no weekends!)
• Casual work environment
• Close-knit company culture: fun events and contests throughout the year
• Community Involvement
• Health Benefits available to full-time employees
• Education Assistance opportunities available
• Your job has purpose - helping people get the medical supplies they need!

Position Requirements

Responsibilities and tasks required to be #teamPRISM:

• Communicate effectively via phone, email, or verbally to patients, clinicians, and other team members.
• Be a team member and assist others with duties as needed.
• Maintain a positive attitude that enhances the organizations reputation and growth
• 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 and/ or COC.

Education/Experience/Knowledge Requirements:

• High School Diploma or equivalent, Associates or Bachelor degree preferred
• Minimum 6 months in a customer focused/customer service environment
• General office skills; typing, filing and answering phones
• Ability to handle fast paced environment and multi task
• Working knowledge of Microsoft Office and Microsoft Outlook
• Good communication skills, both verbal and written

Full-Time/Part-Time
Full-Time


Shift
Days


Position
Client Operations Team Member


Exempt/Non-Exempt
Non-Exempt


About the Organization
PRISM Home Medical Supply Specialists provides seamless delivery of wound care, urological and ostomy supplies. PRISM is one of the fastest growing Home Medical Supply Specialists in the industry and has a reputation of excellence for dedicated service to patients, health care professionals and industry partners.

PRISM welcomes talented, motivated, and progressive-thinking professionals to contribute to the company's reputation of excellence! As one of the fastest growing companies in the industry, PRISM offers employees the opportunity to establish a growing and successful career. PRISM's comprehensive training program and autonomous work environment gives individuals the ability to develop personally and professionally. As PRISM continues to grow, we are constantly looking for dynamic, top talent to add to our great team!

EOE Statement
We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.

This position is currently accepting applications.

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