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CSR II - Home Medical Equipment (HME) Receptionist

  • Job
    Full-time
    Mid Level
  • Customer Relations
    People, HR & Administration
  • Houston

AI generated summary

  • You should have some college experience, three years in customer service or claims processing in TPA/HMO, and bilingual skills are preferred.
  • You will respond to inquiries, verify eligibility, assist with claims, handle clerical duties, maintain organization, ensure confidentiality, and promote compassionate care and professional growth.

Requirements

  • Education: Some college preferred
  • Licenses/Certifications: (None)
  • Experience / Knowledge / Skills:
  • Three (3) years Customer Service or Claims processing experience in a TPA or HMO environment
  • Bilingual preferred

Responsibilities

  • Efficiently and courteously responds to telephone inquiries from subscribers regarding benefit verification, claims issues, and eligibility.
  • Interprets plan coverage for subscribers and providers to determine correct level of benefit coverage.
  • Provides claim filing instructions when needed to subscribers and providers.
  • Provides telephone assistance to subscribers and providers, and verifies eligibility as required.
  • Promptly returns phone calls resulting from inquiries that require additional research.
  • Efficiently enters data simultaneously while listening attentively.
  • Provides a high degree of confidentiality/discretion and independent judgment.
  • Keeps workstations stocked and organized at all times.
  • Performs daily clerical duties, including sending faxes, making copies, and assisting in other areas.
  • Efficiently makes requested changes (temporary address changes, ID card requests).
  • Ensures safe care to patients, staff and visitors, adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
  • Promotes individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency, supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor, and resource to less experienced staff.
  • Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann's service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.
  • Other duties as assigned.

FAQs

What are the working hours for the CSR II - Home Medical Equipment Receptionist position?

The working hours for this position are Monday to Friday, from 8:00 AM to 4:30 PM.

Where is the job located?

The job is located at Home Health North, 16538 Air Center Boulevard, Houston, TX 77032.

What qualifications are required for this position?

A minimum of three (3) years of customer service or claims processing experience in a TPA or HMO environment is required. Some college education is preferred.

Is bilingualism preferred for this role?

Yes, being bilingual is preferred for this position.

Does this position require any specific licenses or certifications?

No specific licenses or certifications are required for this position.

What types of inquiries will I be responding to in this role?

You will be responding to inquiries from subscribers regarding benefit verification, claims issues, and eligibility.

Will I be required to handle clerical duties?

Yes, you will be responsible for daily clerical duties such as sending faxes, making copies, and assisting in other areas as needed.

What skills are important for success in this role?

Important skills include effective communication, data entry accuracy, confidentiality, independent judgment, and the ability to multitask while maintaining a high level of customer service.

Are there opportunities for professional development in this position?

Yes, there are opportunities for professional growth and development, including meeting requirements for continuing education and skills competency.

What is the employer's commitment to community service?

Memorial Hermann demonstrates a commitment to caring for every member of the community by creating compassionate and personalized experiences, adhering to service standards that prioritize safety and care.

More than a century of patient-centered care. At Memorial Hermann, we are all about advancing health. Yours.

Science & Healthcare
Industry
10,001+
Employees

Mission & Purpose

At Memorial Hermann, we are all about advancing health. Yours. It begins by redefining healthcare. Our 6,400 affiliated physicians and more than 26,000 employees practice evidence-based medicine with a relentless focus on quality, safety and exceptional service for all patients, consumers and Health Plan members. Our efforts continue to result in national awards and recognition, including for our nationally acclaimed Accountable Care Organization. With a focus on providing enhanced access to care, Memorial Hermann offers Virtual Clinic for digital access and has 300 care delivery sites conveniently located across the Greater Houston area, including our flagship hospital in the world-renowned Texas Medical Center, which serves as the teaching hospital for McGovern Medical School at UTHealth. We have proudly served this community for more than 110 years, and we contribute more than $588 million annually through school-based health centers and other community benefit programs. Because at Memorial Hermann, the health of our community is always at the center of what we do. Learn more about Memorial Hermann Health System.