Peer Mentor Responsibilities
This employee is a peer mentor for the department, responsible for setting a professional example in business acumen. This employee must accurately, thoroughly, and in a time-sensitive manner process patient orders and provide clear and timely communication to all stakeholders.
- Proficient in and performs all Customer Service I and II core responsibilities
- Respond to telephone inquiries and orders from patients and referral sources
- May assist walk-in patients with the selection of equipment, supplies, and services
- Determine resolution of patient and referral inquiries, questions, or concerns
Identify concerns and ensure they are recorded in Concern Tracker system when appropriate
Complete electronic intake process in billing system, perform verification of insurance, and review all documentation for accuracy to qualify patient for servicesContact patients to inform them of any patient payment requirements, collect payment, and determine best delivery method to provide instructions for receiving deliveryUnderstand and abide by Accreditation Commission for Health Care (ACHC) requirementsMay need to understand and interpret Medicare guidelines and qualifying documentationThoroughly understand payer and utilization guidelinesMay process insurance authorization and follow up on requests as neededEstablish positive relationships with referral sources and build rapport with internal and external customersMay be required to perform quality assurance process, confirming accuracy of orders prior to submission for reimbursementUnderstand C-PAP compliance guidelines as required by assignment or has obtained knowledge of rehab specialty equipment and coverage criteriaConsistently meet Quality Assurance score of 85% or aboveProvide coverage in all areas of assigned department as neededSet the working example for other Patient Service employees in business acumen and knowledgeComplete departmental projects as assignedPeer to peer coaching as needed