Insurance Benefits Verification Representative Buffalo Grove, IL

One of the largest pharmacy providers in the nation is currently seeking an Insurance Benefits Verification Representative in Buffalo Grove, IL. Interested candidates should be recent college graduates or possess a minimum of 2 years experience a professional work environment. Benefits verification experience is a plus.

Responsibilities of the Insurance Benefits Verification Representative

• Conduct a detailed benefit and eligibility verification of insurance benefits for plan participants.
• Navigate software systems to document conversations and outcomes as well as managing follow-up actions.
• Responsible for understanding and communicating medical information.
• Identify potential issues, collect and document/publish data, establish facts, draw conclusions, and solve problems is essential.

Our client is a Fortune 10 Company and one of the largest pharmacy providers in the nation. If you want to join forces with a company who employs over 240,000 people and whose goal is to help people on their path to better lives, this is the place for you. Great training programs, excellent career path options and the ability to positively impact the lives of others are just a few of the reasons that make this a dynamic place to work. Bridge has had a professional relationship with this company for the past 14 years and had placed over 2000 people with this company. This company has regularly converted top performing individuals to full time employees.

Responsibilities include:

• Develop a department-wide learning strategy utilizing best practices in design and delivery of curriculum to support Direct Bill operations for new hires and existing employees

• Manage the development and ongoing updates to standard work instructions for the department

• Manage all Direct Bill new hires from initial onboarding through the formal training period including satisfactory demonstration of key learning objectives

• Utilize key performance indicators (KPIs) to identify training opportunities

• Gather information and assess gaps to present to management for ongoing training needs

• Demonstrate the ability to solicit feedback from internal team members on the training program for continual improvement

• Ability to utilize alternative training methods such as e-learning, webinars etc.

About you:

• Minimum of 4 years of progressively responsible training program planning and/or implementation and quality assurance experience

• Minimum 5 years healthcare experience including: insurance benefit verification, prior authorization and billing preferred

• Excellent business communications skills (verbal, written and presentation)

• Demonstrated skills for providing adult learning/training, i.e. curriculum development and delivery

• Strong analytical skills with the ability to identify trends and present information in a succinct and actionable manner

• Demonstrated organizational, planning and project management skills

• Creative problem solving skills with the ability to multi-task and prioritize business requirements in a dynamic, fast paced environment

• Ability to think and work creatively and effectively in a rapidly changing environment

• Familiarity, knowledge and understanding of current training tools, technology and techniques

• Bachelor’s degree or equivalent healthcare experience

• Experience with CRM casing/ticketing systems, preferably salesforce.com

What’s in it for you:

This is a full-time position with competitive salary package and excellent benefits including medical, dental and vision insurance, paid holidays and paid time off.

Responsibilities:

• Handle incoming calls and emails regarding customer inquiries
• Provide a high level of customer service in responding to all inquiries timely
• Utilize strong problem-solving skills in resolving customer issues with reliable solutions
• Navigate through company systems and document customer inquiries
• Collaborate with other departments as necessary

Requirements:

• Excellent communication skills
• Strong problem solving and attention to detail
• Able to function within complex systems including MS Office
• Organized and able to multitask
• Excellent attendance track record
• High school diploma or equivalency
• Bilingual (French, or Spanish) a plus, not required

• Within a call center environment, answer telephone calls in a professional, courteous and timely manner
• Provide accurate and thorough information to all internal and external clients
• Research and analyze client issue and communicate any necessary information to the appropriate person for resolution

Responsibilities of the Patient Services Representative

• Place outbound and take inbound calls to doctor’s offices and patients.
• Schedule specialty medication shipments.
• Obtain and document clinical and demographic patient information.
• Verify insurance coverage and explain benefits and co-pay.
• Contact Doctor's offices for refills and clarification of prescriptions.

Requirements of the Patient Services Representative

• Strong interest in learning and working in the pharmaceutical industry
• Minimum 1 year of Pharmacy Technician experience or 4 year college degree
• Ability to demonstrate excellent communication skills and phone customer service
• Prior experience using Centricity EMR, Centricity Practice Solutions and Microsoft Office

Compensation for the Patient Services Representative

• The starting salary for this position is $16 hourly.

Responsibilities of the Data Entry Clerk

• Collect and enter patient demographics, insurance information and medical information for new patients into a computerized system.
• Receive new referrals via phone, fax or Internet.
• Maintain corporate database of physicians where licenses to practice medicine have been verified.
• Verify licensure of new physicians referring patients.
• Place outbound calls to gather additional patient information.
• Process Internet requests for new enrollments and/or prescription requests.
• Assist with the training of new/seasonal staff.

Requirements of the Data Entry Clerk

• Verifiable High School Diploma or GED is required
• Minimum of 1 year of office experience (other experience subject to review)
• Computer experience is required with proficiency in Microsoft Outlook, Word and Excel
• Basic alpha numeric data entry skills with attention to accuracy and quality is essential
• Ability to work independently in a team oriented environment while meeting individual performance goals
• Effective organizational skills and ability to prioritize a fluctuating workload and competing priorities is essential

Compensation of the Data Entry Clerk

• Salary :$13.00/hr

Core Requirements
Experience
•    Oversee and supervise all day to day accounting and finance functions of the company.
•    Monthly close and consolidation of company financial statements.
•    Establish, monitor, and enforce internal controls, policies, and procedures.
•    Bachelor’s degree in accounting or related field is a must.
•    7+ years progressive experience in accounting and financial roles required.
•    Working experience within the ‘Logistics’ industry highly preferred.
•    Strong knowledge of accounting principles and controls.
•    Help the leadership team create and support company budgets.
•    Must have a thorough understanding of accounting software and systems (QuickBooks).
•    Knowledge and understanding of inventory controls and systems.
•    Manage the banking function- bank lines of credit, cash sweeps, controls, etc.
•    Strong communication skills, including the ability to effectively communicate policy and procedures across business functions.

Competencies
•    Must exhibit solid leadership and decision-making skills.
•    Strong analytical, organizational and management skills.
•    Ability to work effectively, efficiently and professionally with all levels of the organization, including executive officers through to staff.
•    Exhibit entrepreneurial spirit and ability/willingness to roll-up-sleeves and take on wide ranging projects and tasks.

Responsibilities of the Account Manager

• Manage and grow current clientele base

• Cross sell, and identify service needs and opportunities

• Reach out to shippers and consignees to earn new opportunities to expand network

• Sell to current customers on contractual freight, segmented logistics and other offering to strengthen relationship

• Update records in CRM system

• Meet and exceed monthly margin goals

Requirements of the Account Manager

• 1+ years in inside sales within the 3pl/logistics sector

• Experience with TMS systems

• Develops reasonable annual objectives for the parts department to include customer service, proper & acceptable inventory levels, acceptable turnover rates, and sales goals and profits. Prepares an annual budget and sales forecast for the department.

• Sees that authorized plans and programs are carried out by the parts department as to inventory levels, EOQ’s profit, inventory turnover, gross margin, warranty, customer satisfaction, service and convenience.

• Ensures availability of adequate manpower at all times in order to maintain proper records, storage facilities, packaging, deliveries and parts sales. Maintains a display area.

• Recruits and hires department personnel. Organizes and conducts training programs for parts personnel (and other company personnel) either as a department function or in conjunction with manufacturer's representatives. Maintains housekeeping discipline.

• Evaluates the performance of the parts personnel vs. job description and makes recommendations with regards to salary levels and compensation plans.

• Maintains proper records, submits required reports, checks customer credit status and conducts other administrative details as required by management.

• Makes recommendations with regards to the stocking and sales of re-manufactured, used or exchange parts. Keeps the sales department and customers informed regarding such programs; analyzes monthly emergency purchases.

• Prepares and recommends plans for expansion. Makes necessary purchases of outside supplies and maintenance equipment.

• Sees that parts literature, instruction sheets, price sheets, reference materials, promotional materials, etc. is properly maintained and kept up to date and available on all items supplied to the trade.

• Takes an active part in company sales and service meetings; acts as a catalyst in the promotion and sale of parts through every possible means. Maintains contact with customers and constantly evaluates the degree of parts service offered.

• Studies operating costs, i.e. delivery charges and rates, paperwork procedures, telephone and telegraph bills, mechanical handling methods, taxes and other hidden expenses in order to improve the profits of the department.

• Cooperates with the sales, rental, & service department in evaluating the parts used on the equipment. Makes necessary recommendations to reduce cost, equipment downtime, and turnaround time.

• Overall responsibility for parts department safety, fire prevention and housekeeping. Includes keeping parts areas in compliance with all applicable OSHA and EPA (Environmental Protection Agency) requirements. Responsible for the proper handling of potentially dangerous products.

• Continually studies parts management practices and automation, attends conferences and seminars conducted by manufactures and associations, and makes every effort to keep posted on the latest and most efficient methods of running a profitable parts department, especially computerization.

Qualifications

• Must be fluent in the operation of a personal computer, Business system, & suite of Microsoft Office products.

• Bachelor’s Degree in business management or related field preferred. Minimum of 5 years’ parts department experience. Possesses a clear understanding of the Parts Department and all related activities. Possesses excellent problem solving, administration, and management skills.