Customer Care Specialist responsible for billing inquiries and insurance assistance for Exact Sciences. Offering flexible work from home model with various shifts available.
Responsibilities
Provide world class service to potential patients and patients with the goal to assist with insurance, coverage, and payment options associated with Cologuard
Assist with insurance eligibility details required for kit shipment and patient billing requirements
Interact with providers, patients, and payors to answer questions around claim denials, billing statements, Explanation of Benefits (EOB), and/or payment options
Educate and assist on inquiries associated with Medicaid, Medicare, and private insurance companies
Navigate supplemental payor websites to determine eligibility
Collect payment, establish payment plans, assist with Financial Assistance requests, and refunds as appropriate
Interact with patients, providers, and clients for all aspects of billing through phone, e-mail, or other channels to support incoming calls and place outbound calls
Quality-focused with a high attention to detail and accurate documentation
Provide customers with product and service information and route contacts to the appropriate resources
Stay current with relevant guidelines and policies to maintain compliance with all company procedures and guidelines; including, but not limited to HIPAA, Quality Policies, and the Code of Business Conduct and Ethics
Perform all job duties according to contact center policies and procedures
Communicate and act in a professional manner in all interactions with employees of Exact Sciences, patients, providers, and clients
Demonstrate excellent verbal and written English communication skills
Ability to apply knowledge of customer service principles and practices
Ability to work in a team environment and adapt to changing workload and circumstances effectively; ability to respond to new information quickly while focusing on tasks and work independently
Ability to report to work on time and follow attendance guidelines, demonstrating reliable attendance
Ability to work designated schedule and overtime as needed
Ability to work in front of a computer screen and/or perform typing for approximately 90% of a typical working day operating telephone, computer, keyboard, and various desktop applications
Requirements
High School diploma or GED
Must be 18 years of age or older
2+ years of customer service experience
Authorization to work in the United States without sponsorship
Demonstrated ability to perform the essential duties of the position with or without accommodation
Experience in an inbound/outbound contact center in the healthcare industry (preferred)
Knowledge of contact center telephony and technology (preferred)
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