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Energy Jobline ZR

Customer Service Specialist in Las Vegas

Energy Jobline ZR, Las Vegas, Nevada, us, 89105

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Job DescriptionJob Description

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Ready to make a real difference in people’s lives?

ActivStyle is seeking compassionate, driven individuals to join our team—where purpose meets professionalism. As a trusted provider of home-delivered medical supplies, we empower our clients to live with dignity, independence, and comfort.

ActivStyle is currently hiring for a dedicated

Customer Service Specialist

in our

Nevada office . In this role, you’ll be the friendly voice and knowledgeable guide helping clients access essential products like incontinence supplies, urological items, and other personal care essentials—all delivered discreetly to their door.

If you’re passionate about helping others and thrive in a supportive, mission-driven environment, we’d love to welcome you to the ActivStyle family.

Position Summary:

Customer Service Specialists are responsible for learning and understanding the entire front-end process to ensure successful service for our patients. The Customer Service Specialists works in a fast-paced environment answering inbound calls and making outbound calls. Maybe responsible for obtaining, analyze, and verify the accuracy of information received from referrals, create orders, and or schedule the patient to receive equipment as ordered by their doctor. Customer Service Specialists should educate Patients of their financial responsibility when applicable.

Essential Functions and Job Responsibilities:

Develop and maintain working knowledge of current products and services offered by the company

Answer all calls and emails in a timely manner, in adherence to their goals

Document all call information according to standard operating procedures

Answer questions about products and services, retail stores, general service line information and other information as necessary based on customer call needs

Process orders, route calls to appropriate resource and follow up on customer calls where necessary

Review all required documentation to ensure accuracy

Accurately process, verify, and/or submit documentation and orders

Complete insurance verification to determine patient’s eligibility, coverage, co-insurances, and deductibles

Obtain pre-authorization if required by an insurance carrier and process physician orders to insurance carriers for approval and authorization when required

Must be able to navigate through multiple online EMR systems to obtain applicable documentation

Enter and review all pertinent information in EMR system including authorizations and expiration dates

Communicate with Customer Service and Management on an on-going basis regarding any noticed trends with insurance companies

Verify insurance carriers are listed in the company’s database system, if not request the new carrier is entered

Responsible for contacting patient when documentation received does not meet payer guidelines to provide updates and offer additional options to facilitate the referral process.

Meet quality assurance requirements and other key performance metrics

Facilitate resolution on customer complaints and problem solving

Pays attention to detail and has great organizational skills

Actively listens to patients and handle stressful situations with compassion and empathy

Flexible with the actual work and the hours of operation

Utilize company provided tools to maintain quality. Some tools may include but are not limited to Authorization Guidelines, Insurance Guidelines, Schedules, NPI ( Provider Identifier), PECOS (the Medicare Provider Enrollment, Chain, and Ownership System) and “How-To” documents

Develop and maintain working knowledge of current HME products and services offered by the company.

Maintain patient confidentiality and function within the guidelines of HIPAA.

Completes assigned compliance training and other educational programs as required.

Maintains compliant with ActivStyle’s Compliance Program.

Assist operations with on-call responsibilities as needed during non-business hours in accordance with company policy.

Depending on the geographic territory and size of the branch location, may require assisting operations with deliveries.

Retain knowledge of and consistently adhere to procedures for the use of Personal Protective Equipment (PPE), infection control and hazardous materials handling.

Perform other related duties as assigned.

Competency, Skills and Abilities:

Excellent customer service skills

Analytical and problem-solving skills with attention to detail

Decision Making

Excellent ability to communicate both verbally and in writing

Ability to prioritize and manage multiple tasks

Proficient computer skills and knowledge of Microsoft Office

General knowledge of Medicare, Medicaid, and Commercial health plan methodologies and documentation requirements .

Ability to adapt and be flexible in a rapidly changing environment, be patient, accountable, proactive, take initiative and work effectively on a team.

Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.

Ability to work independently as well as follow detailed directives

Solid ability to learn new technologies and possess the technical aptitude required to understand flow of data through systems as well as system interaction

Computer skills including knowledge of Microsoft Office applications

Education and Experience Requirements:

High School Diploma or equivalent required & One (1) year work related experience in health care administrative, financial, or insurance customer services, claims, billing, call center or management regardless of industry.

or:

Associate's degree in a field of study related to patient healthcare.

Senior level requires two (2) years of work-related experience and one (1) year of exact job experience.

Exact job experience is considered any of the above tasks in a Medicare certified HME, Diabetic, Pharmacy, or home medical supplies environment that routinely bills insurance.

Physical Demands and Work Environment:

Work environment may be stressful at times, as overall office activities and work levels fluctuate

Must be able to bend, stoop, stretch, stand, and sit for extended periods of time

Subject to long periods of sitting and exposure to computer screen

Ability to perform repetitive motions of wrists, hands, and/or fingers due to extensive computer use

Must be able to lift 5 to 10 pounds periodically as needed.

Excellent ability to effectively communicate both verbally and written with customers with the ability to demonstrate empathy, compassion, courtesy, and respect for privacy.

Mental alertness to perform the essential functions of position.

May be exposed to angry or irate customers or patients

May be exposed to hazardous materials, loud noise, extreme heat/cold, direct, or indirect contact with airborne, bloodborne, and/or other potentially infectious pathogen.

Amazing Benefits At A Glance:

Team Driven and Values Based Culture

Medical, Dental, and Vision Benefits

Paid Time Off (PTO), Holiday Pay, Sick and Safe Time for Applicable States

Employee Assistance Program

Career Growth Opportunities

401(k) and Generous Employer Match Opportunity

The pay range for this position is $20 -23/hour.

At ActivStyle we don’t just accept difference - we celebrate it, we support it, and we thrive on it for the benefit of our team and our community. We are proud to be an equal opportunity workplace and an affirmative action employer. This employer participates in E-Verify. Following acceptance of any job offer, at the start of employment the employer will provide the federal government Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify is unable to verify your eligibility for employment this employer will provide written instructions to provide an opportunity to contact the appropriate agencies and resolve the discrepancy prior to taking any action against continued employment.

If you are interested in applying for this job please press the Apply Button and follow the application process. Energy Jobline wishes you the very best of luck in your next career move.