Medical Customer Service Representative

Job Description

Job Description

We are looking for a dedicated Medical Customer Service Representative to join our team in New Milford, Connecticut. This is a long-term contract position requiring exceptional communication skills and a strong ability to handle high call volumes in a fast-paced environment. Ideal candidates will bring prior experience in medical or insurance settings, contributing to seamless patient scheduling and registration.

Responsibilities :

• Schedule appointments for new patients across all physicians, ensuring adherence to the core and on-call schedules.
• Update daily physician schedules promptly based on any changes, following established protocols.
• Accurately complete patient registration details, including appointment reasons, physician preferences, and insurance information.
• Collect essential meaningful use data such as ethnicity, smoking history, active medications, and allergies.
• Prepare accounts by printing daily charge tickets, verifying co-pay collection, and reviewing eligibility reports.
• Confirm insurance requirements for physician referrals and ensure all pre-certifications are obtained for radiology tests and specialty services.
• Maintain comprehensive patient logs for tracking registration activities and ensure data accuracy.
• Efficiently handle incoming calls, connecting callers to appropriate extensions and paging staff when necessary.
• Process pre-authorizations for medical services, including faxing approvals to facilities and updating system records.
• Follow up daily on pending orders, securing additional documentation as required by insurance providers.
• Proven experience in high-volume call center environments, preferably within medical or insurance sectors.
• Strong customer service skills with the ability to handle inbound and outbound calls effectively.
• Familiarity with medical office procedures, including patient scheduling and data entry.
• Knowledge of insurance pre-certification processes and requirements.
• Proficiency in collecting and entering detailed patient information accurately.
• Ability to manage multiple tasks simultaneously while maintaining attention to detail.
• Excellent verbal and written communication skills.
• Comfortable working in an office-based environment.