Prism Medical Products, LLC · 5 hours ago
Client Operations Associate (Data Entry/Insurance Verification)
Prism Medical Products is dedicated to building careers and delivering innovative patient-centered solutions. The Client Operations Associate will play a vital role in enhancing the client experience through insurance verification and support services, ensuring exceptional care for patients and providers.
HealthcareHealth CareMedical
Responsibilities
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
Qualification
Required
High School Diploma or equivalent
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
Preferred
Associates or Bachelor degree
Benefits
Health, Dental, Vision, Life, Disability, 401K, Company Paid Holidays, Paid Time Off, Education Assistance Program, Community Involvement, Employee Engagement Opportunities.
401(k)
Dental insurance
Disability insurance
Health insurance
Life insurance
Paid time off
Vision insurance
Company
Prism Medical Products, LLC
Prism Medical Products is a consumer services company that offers urological and wound care supplies.
Funding
Current Stage
Growth StageTotal Funding
unknown2021-01-06Acquired
Company data provided by crunchbase