Major Responsibilities:

Provide support to the day-to-day operations of Customer Service Center.When entering referral, correctly identify insurance coverage, investigate and verify sources of reimbursement and make recommendations based on the information obtained.Follows a standardized workflow to support achievement of goals and standards related to referral processing.Team Work.

Education/Experience Required:

HS diploma2 years of experience in a medical office settingCall center experience a plusKnowledge of medical terminology and health care industryKnowledge of Medicare/Medicaid and other third party payers.

Knowledge, Skills & Abilities Required:

Strong communication skills (both oral and written).Able to work effectively with all colleagues, to ensure the seamless referral processingAbility to work well in a team environment with a positive attitudeAppreciation of the need for and ability to maintain confidentialityRational/logical decision makingAbility to prioritize work and work unsupervised for periods of timeStrong interpersonal skillsAbility to take responsibility for processing referrals within timeframes and responding to queries about Medicare, Medicaid and Managed Care Services.Competent in the use of a range of software packages including Microsoft Office, Word and Excel (used daily)Ability to follow through on tasks and communicate between and among team membersAbility to respond to callers professionally and courteously.Ability to express self clearly and assertively, and work in a busy office

Physicial Requirements and Working Conditions:

Independent thinkerHigh energy, self-starterEffective communicator • Detail orientedWork flexible hoursOccasional travel to other Advocate and referral locations as necessary in all weather conditions on all types of roads including expressways10 lbs or less regularly of office supplies/equipment to perform job20-50 lbs occasionally (e.g. box of of paper)

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.