Participant service representative vs contact representative

Differences between participant service representative and contact representative duties and responsibilities

Participant service representative example responsibilities.

• Educate veterans and the college community on veteran's benefits and academic requirements need to accomplish academic goals.
• Educate employees in the FMLA process.
• Answer questions in regards to FMLA and payroll.
• Act as primary liaison between AVP and assign key clientele.
• Supervise multiple medical orders for largest AVP corporate account on a daily basis via telephone, fax and email.
• Submit insurance claims; review and problem-solve return, dispute, or reject claims from Medicare and other third-party payers.
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Contact representative example responsibilities.

• Perform outbound telemarketing, marketing products and services to members and attain sale goals.
• Lead contact center in consultation to patient's/doctors inquiring about Medicaid/Medicare coverage and claims.
• Contact doctor offices to schedule Medicade and Medicare risk adjustment chart reviews.
• Create common knowledge documents (CKM) to help agents resolve technical blackberry problems.
• Answer questions relating to VA and treasury offsets on collection procedures for past due accounts.
• Investigate and initiate corrective action on delays or errors and explain determination on individual cases and appeals.
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