Provider Experience Specialist I Job at CIOX Health
Who we are...
Ciox Health merged with Datavant in 2021, creating the nation's largest health data ecosystems, powering secure data connectivity on behalf of thousands of providers, payers, health data analytics companies, patient-facing applications, government agencies, research institutions and life science companies. The combined company is focused on improving patient outcomes and reducing costs by removing impediments to the secure exchange of health data. Ciox, a Datavant company will offer the ability to access, exchange, and connect data among the thousands of organizations in its ecosystem for use cases ranging from better clinical care and value-based payments to health analytics and medical research.
What we offer…
What we need…
This position is responsible for answering incoming telephone inquiries from Provider Offices, internal teams, and market line calls. Additionally, this role will be making outbound phone calls and building relationships with assigned medical providers and the Health Plans to obtain required medical charts on behalf of our clients. As a Provider Experience Specialist, they will assist with push backs, escalated groups, and special projects for the Outreach Department.
Responsibilities:- Manage inbound/outbound calls professionally and in a timely manner
- Must have strong customer service skills
- Research required information using available resources
- Handle and resolve scheduling issues with Provider Office while on the call
- Work inventory that comes back from the health plan in a PNP Release status
- Merge and reassign orgs as needed
- Responsible to meet company set performance goals (KPIs)
- Must be a team player and willing to adapt to change
- Use call scripts to encourage medical providers to send in charts via different retrieval methods, including onsite technician, fax, mail, provider portal, etc.
- Respond to questions or concerns from provider offices
- Handle moderately complex issues and problems and possess solid working knowledge of subject matter
- Adhere to the Company's Code of Conduct and policies and maintain HIPAA compliance
- Assist with additional work duties or responsibilities as evident or required
- High school diploma or GED is required
- 6+ months experience with scheduling/customer service required
- 1 year of Call Center Experience, outbound call and/or sales call experience strongly preferred
- Demonstrated understanding of medical terminology
- Exceptional accuracy and attention to detail
- Strong verbal and written communication skills in the English language
- Telephone skills including the ability to speak clearly with a pleasant and professional tone
- Able to interpret and communicate information accurately
- Possess good judgment, patience, and diplomacy
- Ability to work in fast-paced, results-based environment
- Intermediate computer skills including Windows based applications (Word, PowerPoint, Excel, and Outlook) including the ability to work with CIOX web-based medical record applications
- Consistent and reliable attendance
- Ability to work overtime as needed
For remote work, this position requires that you provide a high-speed internet connection, subject to applicable expense reimbursement requirements (if any), and a work environment free from distractions.
- Except for states where legally prohibited to enforce mandates.
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