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Role Description

As a Patient Advocate Representative I in our Patient Support Department, you’ll be at the heart of our call center operations as you deliver first-class customer service in every interaction. You will handle all tasks required to maintain patient satisfaction and ensure accurate and timely shipping of reorders. You will provide cross-functional support of all business units to maintain up-to-date documentation and insurance for accurate processing and billing of patient services. You’ll be the one on the front line to help solve our patient’s challenges and deliver on our promise of superior customer service.

• Obtains and process authorizations for reorders.
• Resolve patient issues and ensures accurate reorder processing via phone, document processing and medical record validation.
• Ensures patients have all required medical documentation to permit billing of services as assigned.
• Maximizes patient base through retention efforts and cross-selling via phone.
• Handles inbound and outbound calls from patients’ physicians and referral sources to ensure patient satisfaction, troubleshoot new and existing patient concerns, add services, verify, and explain insurance coverage to patients.
• Audits configuration of supplies based on supporting documentation, formulary requirements and manufacturer capabilities.
• Maintains a strong understanding of medical documentation, Insurance requirements and company procedures.
• Maintains a high degree of confidentiality always due to access to sensitive information.
• Maintains regular, predictable, consistent attendance and is flexible to meet the needs of the department.

Qualifications

• Minimum high School diploma or GED equivalent.
• Customer Service Experience Preferred.
• Proficient computer literacy to include strong keyboarding and ability to key data accurately while maintaining strong listening skills.
• Strong attention to detail, multi-tasking, communication, and organizational skills are essential.
• Exceptional phone and email etiquette.
• Position may require evening and weekend availability.

Values

• Certainty - The lives of the individuals we serve depend on our ability to execute. We commit to doing this every day.
• Compassion - We understand the burdens of patients and their loved ones and channel this into a relentless pursuit of customer satisfaction in every part of our business.
• Advancement - We are endlessly looking for ways to progress and become more innovative in all things we do.

Company Description

CCS is the strategic partner addressing America's most pressing healthcare challenges through intelligent chronic care management, tackling the $412 billion annual diabetes burden and chronic conditions affecting over 133 million Americans. At the core of CCS's differentiated model is LivingConnected®, a human-led, digitally-enabled clinical solution. PropheSee™—an AI-powered predictive model that identifies non-adherence risk and delivers personalized interventions—is an integral part of this solution, creating a first-of-its-kind platform to improve adherence, enhance clinical outcomes, and help prevent costly hospitalizations.

By combining data-driven insights with three decades of industry relationships, CCS is the smart choice for health plans, providers, employers, and manufacturers who believe that value-based care starts by keeping patients healthy and delivers benefits like lower cost of care, improved HEDIS scores, and alleviating provider burnout. CCS's approach extends clinical reach while supporting over 200,000 people nationwide with home-delivered medical supplies and pharmaceuticals annually. Recognized as a Great Place to Work®, and with numerous peer-reviewed publications validating our care management approach, CCS is more than a trusted supplier—we're a partner in transforming chronic care delivery.

Benefits

• Competitive Salary
• Bonus/Incentive Opportunities/commission (if applicable)
• Comprehensive Benefits: Medical, dental, and vision insurance
• 401(k) with company match
• Paid time off (vacation and holidays)
• Ongoing training and professional development
• Remote or hybrid work options
• Wellness programs and mental health support