Intake Case Manager - Quezon City, Pilipinas - MicroSourcing

Paglalarawan

• Answer inbound calls and communicate with patients, doctors, and Health Insurance companies via phone, fax, and email.
• Receive, process, track, and prioritize prescription orders for home medical equipment with speed and accuracy.
• Contact physiciansu0027 offices and other facilities to request prescriptions, progress notes, and other necessary medical information for order processing.
• Enter patient demographic data accurately into the system.
• Verify insurance benefits and eligibility.
• Communicate effectively with patients and healthcare professionals.
• Provide ongoing customer support.
• Process referrals received from physicians for Durable Medical Equipment (DME) and perform basic data entry to create sales orders.
• Conduct phone consultations to educate new patients on the order process and gather demographic, insurance, and qualifying data for order completion.
• Perform insurance eligibility and benefits verification.
• Review medical records to ensure medical necessity complies with health insurance requirements for the specific DME being ordered.
• Contact physiciansu0027 offices or other facilities to request additional clinical documentation if required by the insurance payer.
• Coordinate with patients, families, healthcare professionals, insurance companies, and internal staff to facilitate order completion.
• Perform electronic clerical duties such as emails, copying, filing, and faxing PDFs as needed.
• Observe and enforce company policies and ensure HIPAA compliance.

• Bachelor's Degree in nursing or any health-related field, or equivalent experience accepted commensurate with job requirements.
• Excellent organizational and communication skills, both verbal and written.
• Proficient in computer-related tasks.
• Familiarity with Brightree web software.
• Proficient in Microsoft Office applications (Outlook, Excel, Word, OneNote).
• Familiarity with SharePoint (a plus).
• Experience with Adobe Acrobat PDF or equivalent PDF software.

• Competitive Total Rewards (Compensation, HMO, Group Life Insurance, and Performance bonuses)
• A very collaborative work culture