Customer Service Representative - Intermediate

Adecco is currently assisting a local client in their search to fill a Customer Service Representative position in Henderson, NV! This is a long term opportunity for the right person. If you would like to pursue a great opportunity and enjoy working for a fast paced company, then Apply Now if you meet the qualifications listed below! 
Specific Duties:
-Respond to patient questions in person or over the phone
-Greet patients and build rapport to provide a positive patient experience
-Collect patient payments
-Make patient follow up calls (e.g., after procedures, admissions, or ER visits) to identify/close gaps in care
-Ask patients for and/or assist patients with completing required paperwork (e.g., health history, insurance documentation, etc.)
-Connect patients with outside resources (e.g., community resources, social services) to promote self care
-Review and support implementation of patient plan of care
-Work directly with patients to identify specific needs and/or request adjustments to plan of care
-Coordinate services/case management for non-episodic and non-catastrophic cases
-Manage/respond constructively to challenging patient interactions (e.g., address lack of understanding, socioeconomic challenges,
frustrated patients, language barriers)
-Explain and talk to patients or caregivers about sensitive health care decisions such as advanced directives, physician's order for
life sustaining treatment, and palliative care/hospice referrals
-Explain and ensure understanding of details related to patient care (e.g., , home health care transition procedures)
-Explain medical benefits/coverage specifics (e.g., procedures/amounts covered, denials of coverage, appeal rights)
-Access insurance plan systems to verify insurance eligibility/benefits for patients and seek additional information as necessary
-Input/update patient demographic data into computer system
-Update/upload patient care data (e.g., care plan data, inpatient data, patient program flags) in computer systems
-Document patient interactions in appropriate systems/logs (e.g., medication changes)
-Enter/process patient referral data (e.g., medical services, radiology, durable medical equipment)
-Generate reports on patient data through relevant computer systems/applications
-Review/analyze patient data reports (e.g, discharges, hospital admissions/readmissions, skilled nursing facilities) and follow up as
-Identify inconsistencies in diagnosis/procedure codes and update codes in the system
-Enter patient payments, prepare deposits, and balance daily deposit log/ledger
-Draft/provide written communications to patients (e.g., standard letters, welcome letters, educational materials) in compliance with
company and health plan guidelines
-Maintains patient/staff data and generates aggregate data reports

Must have qualifications/experience:
-Verify referral approval prior to scheduling appointments
-Schedule patients for walk-in or future appointments
-Ensure provider templates/procedures are built correctly to schedule appointments in appropriate time slots
-Ask patient questions to verify patient data or needs for scheduling
-Coordinate/confirm scheduling of doctor visits/services with patients
-Make calls to doctor's office on patient's behalf to schedule, check progress, and facilitate the care process
-Identify resources available to support patient care (e.g., housing, social services, meals)
-Work with durable medical equipment providers/obtain durable medical equipment for patients
-Manage patient referral process (e.g., review for duplicates, ensure referral is sent to appropriate provider, follow-up with
requesting provider to recommend changes)
-Engage physician to obtain or provide information related to patient care (e.g., modifying authorizations, redirecting care, clarifying
-Maintain open communication and rapport with physicians to promote patient services/care
-Ensures patient scheduling/follow up activities are completed according to federal, state, or organizational guidelines (e.g., referral
guidelines, follow up notifications, PCP follow up)
-Screens/forwards incoming calls from patients, physicians, and health plans
-Demonstrate understanding of relevant health plan guidelines and benefits (e.g., Medicare, Medicaid/Medical, commercial benefit
plans, Federal/local government regulations)
-Demonstrate understanding of Federal privacy regulations (e.g., HIPPA)
-Demonstrate knowledge of safety guidelines/practices (e.g., OSHA)
-Demonstrate knowledge of basic medical terminology and human anatomy to document patient information using standard
language/medical terminology
-Apply understanding of evidence based practice guidelines (e.g., Millliman) to evaluate medical necessity of procedures.
-Demonstrate understanding of managed care policies/procedures that apply to patient care
-Demonstrate understanding of managed care practices/contract provisions to evaluate appropriateness of services (e.g.,
contracted providers, financial implications, relevant regulations)

Shift Start/End Time: 7:30-4:00pm

Dress Code: Dark Grey Scrubs

Will you be interviewing (face to face or phone)- face to face
Please confirm the worksite location - 56 N. Pecos Road Henderson NV, 89074

Adecco provides one of the most comprehensive benefits packages in the industry to contract employees.
Candidates interested in this Opportunity should apply IMMEDIATELY. DO NOT DELAY. Please click on the “Apply Now” button to fill out your application. If you have any questions, you can contact Kristin Kaiser at
This position is being recruited for by Adecco’s Service Delivery Center, not your local Adecco Branch Office. To be considered for this position, you must use the “apply now” button to submit your resume. If you have questions about the position, you may contact the recruiter recruiting for this position listed above, however your resume must be received via the “apply now” button included within to be considered.
The Adecco Group is a global leader in HR services.  Our group connects over 700,000 associates with our business clients each day through our 6,600 offices in over 70 countries and territories around the world.  We offer employment opportunities at any stage in your professional career.  Contact us today to discuss available contract and direct hire positions.  Adecco Group offers benefits including Holiday, 401(k), Insurance Benefit Plans and Service/Anniversary Bonus opportunities.  
Equal Opportunity Employer Minorities/Women/Veterans/Disabled

  • Apply with Adecco

Reference number US_EN_99_022862_447335