Summary:

• We are currently hiring several individuals to work in the customer support division. Patient Support Center Representatives function as a patient advocate to help resolve patient issues pertaining to claims, benefits referrals, physicians, and access. This position is 100% remote, assists with patient education, and ensures that required services are delivered to patients.

Major Job Duties:

Daily, Patient Support Center Representatives are expected to:

• Answer approximately 60 to 80 inbound customer calls to address inquiries and concerns from members within set productivity guidelines.
• Serve as the liaison between the patients and other department sites.
• Assist new or potential members in the choice of preferred care providers and supply general information about the medical group.
• Provide services to internal and external customers involving the exchange of complex and sensitive information while acting as patient advocate. (HIPPA Guidelines)
• Page clinicians and assist Telehealth Nurses as necessary (e.g., arranging DME, transportation and HH).
• Utilize internal systems to resolve customer needs such as appointments, authorizations, claims, invoices, eligibility, benefits, appeals, TARs.
• Translate oral information into concise and accurate written documentation per guidelines.
• Data enter PCP changes into the system and processes paperwork, as necessary.
• Use, protect, and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
• Recognize financial, medical, and legal risks based on data collected during customer interactions and follows appropriate procedures.

Education/Experience:

• High School or equivalent
• At least 2 years of experience working in a fast-paced call center environment
• Recent experience in assisting patients with questions pertaining to health care providers and prescriptions

Required skills:

• Computer literate - ability to navigate between multiple screens
• Proficient in Microsoft applications (Word & Excel)
• Strong data entry skills
• Customer service oriented
• Excellent verbal and written communication skills
• Ability to manage difficult customer situations in a positive manner
• Ability to quickly address customer issues or escalate to the appropriate resolving teams
• Function as a team player to help as an effective member of the team
• Ability to multitask in a fast paced, high-stress environment
• Must be flexible for occasional shift changes or modifications
• Weekend availability (Alternating weekends will be required)

Job Types: Full-time, Contract

Salary: From $17.00 per hour

Benefits:

• Work from home

Schedule:

• 8 hour shift
• Day shift
• Weekend availability

Experience:

• Call center: 3 years (Preferred)
• Patient service: 3 years (Preferred)

Language:

• Spanish (Preferred)

Work Location: Remote

Please Note :
caminobluff.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, caminobluff.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.