Call Center Representative
Call Center Representative
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1 Vacancy
Job Description
Job Title: Call Center Representative
Reports To: Supervisor Call Center
Job Summary: Confirms patient appointments and verifies patient insurance and demographic information.
Qualifications and Requirements:
The requirements listed below are representative of the knowledge skill and/or ability required. Job duties may be modified at any time based on business needs.
Essential Job Duties:
- Answers phone calls expediently and refers inquiries to the appropriate parties as needed.
- Schedules and confirms patient appointments over the phone.
- Explains health center procedures to patients.
- Verifies medical insurance coverage and eligibility and expires any insurances that are not active.
- Verifies dental insurance coverage and eligibility deductible and maximum coverage.
- Informs patients of account balances and correct billing amounts.
- Notifies patients of insurance co-pays.
- Verifies patient demographic information.
- Ensures accuracy of information in telephone messages and deciphers the correct amount to charge self-pay or sliding fee schedule patients.
- Takes payments over the phone.
- Provides referral status information to patients.
- Working assigned weekends as required.
- Other duties as assigned.
Required Minimum Qualifications - Education Experience Certificates & Licenses:
- High School Diploma or GED.
- Three to six months customer service experience.
Preferred Qualifications - Education Experience Certificates & Licenses:
- One year of experience in a medical setting providing office support preferred.
Required Language Skills:
- Ability to comprehend and compose instructions correspondence and communications in English in both oral and written format.
- Bilingual in English and Spanish may be required based on current staffing patterns patient population and/or duty assignment.
Physical Requirements:
- Ability to occasionally exert enough force to move objects weighing up to 10 pounds.
- Ability to continuously remain in a stationary position.
- Ability to occasionally move about inside the workplace to access files office machinery etc.
- Possesses hand-eye coordination and manual dexterity necessary to constantly operate computers telephone and other office machinery.
- Possesses close visual acuity necessary to accurately record and view information on a computer monitor handwritten and typed documents.
- Ability to discern the nature of sounds at a normal spoken volume.
Other Required Knowledge Skills and Abilities:
- Ability to add subtract multiply and divide in all measure using whole numbers common fractions and decimals.
- Ability to gather data in an organized fashion from varied sources.
- Ability to take direction and perform assignments accordingly.
- Knowledge of prepaid health plans preferred.
- Knowledge of HIPAA and Corporate Compliance rules and regulations.
- Computer literacy required.
- Knowledge of Electronic Health Records preferred.
- Ability to provide excellent customer service by mail telephone and in-person.
- Ability to prioritize and plan work activities use time efficiently and develop realistic action plans.
- Ability to display a positive attitude towards patients providers supervisors and other staff.
Work Environment & Conditions:
- Work environment is typical of an administrative office setting with no substantial exposure to adverse environmental conditions.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
