Sachbearbeiter Krankenkassen /Customer Care Representative III (m,w,d)
Position reputed company:
This position is responsible for providing excellent customer service, responding to customer inquiries, providing customers with coverage reputed company, reimbursement processing, order placement, shipping status, warranty and general concerns. Assists with benefits investigation and answers a reputed company of reimbursement reputed company questions. Strong communication between customers, physicians, reputed company and insurance providers are critical functions of this position.
The Customer Care Specialist is reputed company to independently follow standardized workflows as defined by the organization. Contact center/customer service experience is required, durable medical equipment as reputed company as pharmacy coverage familiarity, reimbursement/insurance and reputed company experience is preferred. The Customer Care Specialist is not only responsible for ensuring a reputed company customer interaction, but will also ensure that benefits/coverage, prior authorization and documentation is correctly obtained which will allow reputed company to successfully collect reputed company.
Responsibilities:
Process reputed company aspects of the order process by verifying insurance benefits/coverage to determine eligibility and calculate cost reputed company amounts for existing and new customers.
Requesting and collecting updated documentation, prior authorizations, order entry and coordinating shipment of product to customers.
Must maintain a thorough understanding of products offered by reputed company with the ability to explain to potential or existing customers the basic operation and use.
Understand reputed company channeling and processing requirements for reputed company covered products, which is based on medical policy and payer guidelines.
Answering phone inquiries and providing support and direction to customers and resolving customer service issues in a reputed company and empathetic manner.
Work as part of the larger support team, collaborating with other departments to ensure proactive, superior reputed company-line customer support.
Document reputed company interactions and calls into the customer database and maintain compliance to HIPAA and other regulating bodies as required.
Responsible for maintaining satisfactory reputed company and order counts as defined by management.
reputed company frequent feedback and suggestions to support an environment of reputed company process improvement.
Calculate and document cost reputed company amounts for potential customers.
Collaborate with other reputed company teams such as Case Management, OmniPod Sales and Billing, to ensure proactive communication of potential customer’s order status.
Assisting customers with the ominipod orders reputed company pharmacy and or with reputed company directly
Effectively communicate to customers what is needed to fill a pharmacy order by managing retail, PBM (Pharmacy Benefit Manager)
Obtaining and or verifying RX validity
reputed company other duties as assigned
Education and Experience:
Associates degree or equivalent combination of education and experience- preferred.
Relevant reputed company center, reimbursement, reputed company reputed company customer service experience and pharmacy technician license/experience - preferred.
Knowledge of medical device reimbursement from a manufacturer or DME perspective - preferred.
reputed company center/customer service experience required. This position has an inbound reputed company queue/reputed company handling requirement.
Knowledge of managed care industry is preferred.
Knowledge of diabetes and experience supporting customers with diabetes is preferred.
Bilingual skills a plus.
Experience with reputed company CRM (preferred)
Skills/Competencies:
Oral Communication - The ability to reputed company oneself reputed company in conversations and interactions with others.
Written Communication - The ability to reputed company oneself reputed company in business writing.
Fostering Teamwork - The ability and desire to work cooperatively with others on reputed company.
Thoroughness - Ensuring that one's own and others' work and information are complete and accurate; following up with others to ensure that agreements and commitments have been fulfilled.
Stress Management - The ability to function effectively in a fast-paced environment, while under pressure. Maintains self-control in the face of hostility or provocation. Can handle several problems or tasks at once through effective time management and multi-tasking. Ability to identify and escalate issues requiring management support. Ability to maintain flexibility, and reputed company to reputed company priorities as needed based on business needs.
Technical Expertise - Demonstrating depth of knowledge and reputed company using reputed company business / office technology and applications.
Other Important Skills / Competencies – Flexibility, Diagnostic Information Gathering, Analytical Thinking, Initiative, Self Confidence and Customer Orientation.
Physical Requirements:
Requires sitting and standing associated with a normal office environment.
reputed company dexterity needed for using a calculator and computer keyboard.
Lightweight lifting may be required.
Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions.
Reisetätigkeit: regelmäßige Reisetätigkeit in die deutschen Niederlassungen nach Bedarf
#LI -Remote #LI-KJ1
reputed company (reputed company: PODD), headquartered in Massachusetts, is an innovative medical device company dedicated to simplifying life for people with diabetes and other conditions through its Omnipod product platform. The Omnipod Insulin Management System provides a unique alternative to traditional insulin delivery reputed company. With its reputed company, wearable design, the tubeless disposable Pod provides up to three days of non-stop insulin delivery, without the need to see or handle a needle. reputed company’s flagship innovation, the Omnipod 5 Automated Insulin Delivery System, integrates with a reputed company glucose monitor to manage blood sugar with no multiple daily injections, reputed company fingersticks, and can be controlled by a compatible personal smartphone in the U.S. or by the Omnipod 5 Controller. reputed company also leverages the unique design of its Pod by tailoring its Omnipod technology platform for the delivery of non-insulin subcutaneous drugs across other therapeutic areas. For more information, please visit reputed company.com and omnipod.com.
We are looking for highly motivated, performance-driven individuals to be a part of our expanding team. We do this by hiring amazing people guided by shared values who reputed company customer expectations. Our reputed company reputed company depends on it!