Job Description

Position Call Center Representative Location Stuart, FL Duration 12‑Month Contract The role is a call center position with metrics and a focus on patient insurance verification. Contact center experience is preferred, and experience in medical billing or insurance is very helpful. The company offers paid training and seeks candidates interested in a long‑term career. This is a possible temp‑to‑perm role. Strong computer and Microsoft Office skills are required. Responsibilities include alpha and numeric data entry, retention of verbal information, and clear verbal communication. Primary Duties And Responsibilities Verify new patient insurance coverage and re‑verify existing coverage for medical supply eligibility and billing. Coordinate costs for supplies and communicate price to the patient and billing. Re‑verify existing coverage to ensure repeat order cost and eligibility is accurate. Contact insurance carriers for prior authorizations where required. Lead special verification projects for newly contracted insurance plans and audit impacted patients. Verify insurance coverage through HIPAA‑compliant outbound calls or the provider’s online portal. Communicate internally with Sales Operations or Medical Billing Operations regarding insurance eligibility for each new and existing patient. Communicate externally with patients to explain insurance benefits and how they relate to medical supply purchase. Maintain knowledge of medical terminology, billing, and insurance guidelines. Identify and resolve insurance verification issues professionally. Track daily production and submit a daily log to the direct supervisor. Ancillary Duties And Responsibilities Maintain a positive work atmosphere embodying professional excellence, teamwork, and integrity. Perform other duties and tasks as assigned. Reporting Relationship Responsibilities No supervisory responsibilities. Provides work direction only. Provides work direction plus responsibility for hiring, promotions, transfers, performance management, discipline, and discharge. Minimum Requirements Or Qualifications Must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education and Experience High School Diploma or GED. One to two years of related experience and/or training, or an equivalent combination of education and experience. Skills Language: Ability to read, analyze, and interpret medical supply publications, technical procedures, and training tools. Ability to write internal and external business correspondence. Present information effectively and respond to questions from management, team members, and customers. Math: Ability to calculate figures such as discounts, interest, commissions, proportions, and percentages. Apply intermediate math skills. Reasoning: Problem‑solving, handling variables, interpreting instructions in written, oral, diagrammatic, or schedule form, advanced analytical reasoning, forecasting, and evaluating external factors. Computer: Knowledge of Microsoft Office applications, Access or other database software, and call center telecommunications software. Licensure Or Certifications Required No certifications required. Production/Quality Metrics Complete one insurance verification every 9–11 minutes on average, with an error rate of 3.5% or less each quarter. Production and quality standards are at management’s discretion and may be revised without prior written notice. Work Requirements Ability to work some evening shifts, weekends, and overtime as needed. Physical Demands Must walk, sit, use hands for fingers, handles, or feeling, and talk or hear frequently. Occasionally stand and lift or move up to 10 lbs. Reasonable accommodations may be made for individuals with disabilities. #J-18808-Ljbffr

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