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Title

Client Operations - Insurance Verification/Customer Service  

Description

Client Operations Associate

Join us at PRISM for an exciting new career opportunity!

Caring Team Environment where YOU matter

If you're looking for a career that:

  • Satisfies your interest in the medical field with values centered around patient care
  • Gives you a stable, Monday through Friday schedule
  • Provides unmatched training so you are confident in your ability to help others
  • Offers opportunities to help patients and make a difference in other lives everyday

then PRISM is the right match for you!

Founded in 2006 and headquartered in Elkin, North Carolina, PRISM is a nationwide provider of specialty home medical supplies with a core competency in advanced wound care products. Most recently, Henry Schein, Inc. the worlds largest provider of health care solutions to office-based dental and medical practitioners, announced the acquisition of a majority ownership position in Prism Medical Products, LLC (PRISM). PRISM serves a broad and loyal referral network of nationally affiliated and independently operated wound care clinics, as well as specialist practices and clinics in primary care, ostomy, podiatry, rehabilitation and physical therapy, general and plastic surgery, dermatology, and vascular medicine. PRISM enjoys strong referral retention rates as well as high marks for customer satisfaction.

We continue to be a fast-growing home medical supply company that serves our community. Consistently delivering our special recipe of quality and reliable service for all patients, medical facilities, and vendors has made us a unique presence nationwide. We are a valued and trusted health care partner.

What we offer you:

  • A competitive pay range - $15-$17/hr
  • A comprehensive list of health benefits options to choose from
  • Employer match to 401k contributions
  • Robust training programs on professional, technical and leadership skills
  • Paid Holidays (eligible upon hire)
  • 3 Weeks of Paid Time Off (begins to accrue the first of the month following your hire date and monthly thereafter)
  • Employee Referral Program
  • Education Reimbursement
  • Community outreach opportunities

and more!

 

Position Summary:

The Client Operations Associate in our Insurance Verification department shows informal leadership skills on the floor, presents themselves with a positive and professional demeanor, while being well-rounded in their department.  An IVR is there to assist the departments needs and assisting others as needed.  Always leading by example, provide high level of service to our clients, and supporting the team as a confident decision maker and resource.

A day in the life of a new Client Operations Associate:

  • 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.

 

Hours: Monday - Friday 9am - 6pm

 

 
Position Requirements
  • High School Diploma or equivalent, Associates or Bachelors degree preferred
  • 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
 
Full-Time/Part-Time Full-Time  
Shift Days  
Position Client Operations Associate  
Exempt/Non-Exempt Non-Exempt  
About the Organization PRISM Home Medical Supply Specialists provides seamless delivery of wound care, urological and ostomy supplies. PRISM is one of the fastest growing Home Medical Supply Specialists in the industry and has a reputation of excellence for dedicated service to patients, health care professionals and industry partners.

PRISM welcomes talented, motivated, and progressive-thinking professionals to contribute to the company's reputation of excellence! As one of the fastest growing companies in the industry, PRISM offers employees the opportunity to establish a growing and successful career. PRISM's comprehensive training program and autonomous work environment gives individuals the ability to develop personally and professionally. As PRISM continues to grow, we are constantly looking for dynamic, top talent to add to our great team!
 
EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.  

This position is currently not accepting applications.

To search for an open position, please go to http://PrismMedicalProductsLLC.appone.com



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