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12 days old

Patient Services Representative

Kelly Services
Monroeville, PA 15146
Kelly Services is currently seeking to fill a vacancy for a Patient Service Representative for one of our top clients in **Monroeville, PA** .



**Pay Rate: $18.00 per Hour**

**Schedule: Monday - Friday**



**Duration: November 2019- Feburary 2020**



**Shift: 8:30 am- 5:30 pm**



As a Patient Service Representative with Kelly Services, you will be responsible for customer service and case management as well as answering basic clinical and program inquiries.



**DUTIES**

Under general direction of an Operations Manager, responsible for providing well defined services to patients, providers and caregivers. Team members will work interactively with patients and their healthcare providers to complete enrollment activities, answer basic program inquiries, and help coordinate access to therapies through the patients healthcare provider.




**PRIMARY DUTIES AND RESPONSIBILITIES:**

1. Depending on the program specific contracted services an associate may perform one or more of the following activities:a. Inbound Phone Queue/General Program Inquiresb. Determination for support programs Copay, PAP, Medicaid, etc. c. Pharmacy triage and coordinationd. Order processing for wholesale orderse. Other follow-up activities missing info, prior authorization, etc. f. Intakes and reports adverse events as directed.



2. Researches and resolves any claim denials or underpayment of claims.



3. Effectively utilizes various means for collecting information using approved methods, which could include phone, fax, mail, and online methods.



4. Provides exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly.



5. Reports any trends or delays to program management e.g. billing denials, claim denials, pricing errors, payments, etc. .



6. Ensures all program correspondence and communication phone, fax, mail, etc meets quality standards.



7. Works with patient, provider and or internal shared services to ensure all necessary documentation is received and complete in accordance with program policy.



8. Works on problems of moderate scope where analysis of data requires a review of a variety of factors. Exercises judgment within defined standard operating procedures to determine appropriate action.



9. Required to be self-motivated, working from a queue phone or system . Expected to perform work in accordance with defined standard operating procedures. Management will monitor queues and provide active feedback as required.



10. Performs related duties as assigned.



**EXPERIENCE AND EDUCATIONAL REQUIREMENTS:**

High school diploma or GED required. Requires broad training in fields such as business administration, accounting, computer sciences, medical billing and coding, customer service or similar vocations generally obtained through completion of a two-year associates degree program, technical vocational training, or equivalent combination of experience and education. Two years (2) + years directly related and progressively responsible experience required. A two-year degree can be used in lieu of 2 years of the experience requirement.


**MINIMUM SKILLS, KNOWLEDGE AND ABILITY REQUIREMENTS:**

1. Proficient Windows based experience including fundamentals of data entry/typing

2. Working knowledge of Outlook, Word, and Excel

3. Strong interpersonal skills and professionalism

4. Independent problem solver, good decision maker, and robust analytical skills

5. Strong attention to detail

6. Effective written and verbal communication

7. Familiarity with verification of insurance benefits preferred

8. Attention to detail, flexibility, and the ability to adapt to changing work situations.

9. Strong customer service experience


**WORK ENVIRONMENT:**

The work environment characteristics described here are representative of those an associate encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions:

The noise level in the work environment is consistent with an office setting.


**PHYSICAL AND MENTAL REQUIREMENTS:**

The physical demands described here are representative of those that must be met by an associate to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions:

1. Sedentary physical activity requiring reaching, sifting, lifting, finger dexterity, grasping, feeling, repetitive motions, talking and hearing.

2. Visual requirement is for close vision, distance vision, peripheral vision and ability to adjust focus.

3. 75% or more time is spent looking directly at a computer.

4. Ability to deal with stressful situations as they arise.



**Why Kelly?**

At Kelly Services, we work with the best. Our clients include 99 of the Fortune 100 companies, and more than 70,000 hiring managers rely on Kelly annually to access the best talent to drive their business forward. If you only make one career connection today, connect with Kelly.

As a Kelly Services candidate you will have access to numerous perks, including:

Exposure to a variety of career opportunities as a result of our expansive network of client companies

Career guides, information and tools to help you successfully position yourself throughout every stage of your career

Access to more than 3,000 online training courses through our Kelly Learning Center

Weekly pay and service bonus plans

Group- rate insurance options available immediately upon hire*



**Let us help advance your career today.**

Kelly Services is an equal opportunity employer including, but not limited to, Minorities, Females, Individuals with Disabilities, Protected Veterans, Sexual Orientation, and Gender Identity, and is committed to employing a diverse workforce.




**Why Kelly** **** **?**



As a worker today, its up to you to take charge of your career and look for opportunities to learn, grow, and achieve your potential. Helping
you find whats next is what were all about. We know whats going on in the evolving world of workjust ask the nearly 500,000 people we employ
each year. Connecting with us means getting the support, guidance, and opportunities needed to take your career where you may have never imagined.




**About Kelly** ****



At Kelly, were always thinking about whats next and advising job seekers on new ways of working to reach their full potential. In fact, were a
leading advocate for temporary/nontraditional workstyles, because we believe they allow flexibility and tremendous growth opportunities that enable
a better way to work and live. Connecting great people with great companies is what we do best, and our employment opportunities span a wide variety
of workstyles, skill levels, and industries around the world.


Kelly is an equal opportunity employer committed to employing a diverse workforce, including, but not limited to, minorities, females,
individuals with disabilities, protected veterans, sexual orientation, gender identity. Equal Employment Opportunity is The Law.
Posted: 2019-11-08 Expires: 2019-12-09

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Patient Services Representative

Kelly Services
Monroeville, PA 15146

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