Customer Operations Associate
Core
Process customer orders, verify insurance benefits/coverage, calculate cost shares, and coordinate shipping for medical devices (Omnipod) while resolving inquiries.
Role type
Customer Operations Associate (Call Center)
Builds
Order fulfillment and revenue collection workflows for diabetes management devices
Domain
Healthcare / Medical Devices / Insurance Reimbursement
Deliverable
client delivery
Required skills
Insurance benefits verification, Reimbursement processing, Prior authorization handling, Pharmacy coverage knowledge, Order entry, Shipping coordination, HIPAA compliance, Cost share calculation, Call center operations
Preferred skills
Durable medical equipment (DME) experience, Diabetes support experience, Managed care industry knowledge, Salesforce CRM, Bilingual skills
Technologies
Salesforce CRM, PBM systems, Calculator, Computer
Responsibilities
Verify insurance eligibility and calculate cost shares for customers; Process order entry and coordinate product shipment; Answer phone inquiries and resolve customer service issues; Obtain and verify prior authorizations and documentation; Document interactions in the customer database ensuring HIPAA compliance; Collaborate with Case Management and Sales teams on order status.
Seniority
Individual Contributor, Entry to Mid-level