Patient Service Representative
Current• Provide exceptional customer service through inbound/outbound calls in a fast-paced, contact center environment.• Offer empathetic member guidance, including verification of benefits and creation of authorizations for treatment based on the members’ health plan.• Ask probing questions to recognize additional patient needs, including those beyond their current healthcare benefits and provide additional resources/solutions whenever possible.• Act as an advocate for our members by communicating with network liaisons, clinical professionals and finance staff members at hospitals and medical offices.• Partner with internal clinical professionals in providing member guidance and identify when members should be connected directly with Quantum Health Nurses.• Investigate financial discrepancies and claim issues to ensure our members and clients are billed appropriately.