Job description

Job Title: Brightree Customer Service LTC Representative
Division: Warehouse/Office
Department: Customer Service
Reports To: LTC Customer Service Manager
FLSA Status: Non-Exempt
Office hours: 9:00am-5:30pm Mon-Fri

Summary: Responsible for incoming and outgoing calls to and from patients, referral sources and physicians’ offices and or case managers pertaining to DME and incontinent supply inquires, verifying insurance eligibility and coverage via Brightree and insurance portals, logging Par's and attaching authorization to PAR identification number for new and recurring members by performing the following duties.

Duties and Responsibilities:

-Researching products and cost to align with payer reimbursement percentages, ensuring profitability.*

-Constant research and refreshing on insurance guidelines and updates, with an emphasis on Medicare and Medicaid.*

-Generate, request and follow up with referrals on Detailed Written Orders (DWO), incomplete prescriptions, incomplete documentation etc.*

-Ability to perform complex repetitive work with frequent interruptions without losing patience or focus while maintaining a low error rate.*

-Manage assigned WIP orders and Tasked items on a daily basis to ensure accurate and timely billing.*

-Demonstrates a high degree of personal responsibility and accountability to the quality of their work.*

-Ability to track Refills based on prescription, setup template for specified time span.*

-Collect sensitive patient billing information such as credit card details.*

-Log and record any complaints in Brightree, as well as notating account with any pertinent information.*

To perform this job successfully, an individual should have knowledge of Brightree, Word, Outlook, Excel.

Education/Experience:

High school diploma or general education degree (GED); and one year related experience and/or training; or equivalent combination of education and experience.

Knowledge, Skills, and Other Abilities:

• Basic Knowledge of Medicaid DME Fee Schedule
• Basic Knowledge of MMA (Managed Medical Assistance) and or LTC (Long-Term Care) plans

EOE

Job Type: Full-time

Pay: $16.00 - $17.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Shift:

• Day shift
• Morning shift

Weekly day range:

• Monday to Friday

Work setting:

• In-person

Ability to commute/relocate:

• Boca Raton, FL 33486: Reliably commute or planning to relocate before starting work (Required)

Application Question(s):

• Do you have Brightree software experience?
• Do you have knowledge of Medicaid DME Fee Schedule?
• Do you have knowledge of MMA (Managed Medical Assistance) and/or LTC (Long-Term Care) plans?
• Do you have knowledge of Word, Outlook, and Excel?

Work Location: In person

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