Representative, Call Ctr

Job Details

• Role may be required to work at other sites as needed

Job Title: Call Center Representative

Department: Operations

Reports to: Patient Services Supervisor

Exempt/Non-Exempt: Non-Exempt

FTE: 100% (40 hours)

Primary

Location:

Role may be required to work at other sites as needed

The Call Center Patient Services Representative is responsible for the scheduling of patients receiving health services within the center. This includes basic collection of necessary registration data on new Medical, Dental and Behavioral Health patients as well as updating and making corrections to registration data on established patients. Position also includes responsibility of communicating to patients about upcoming medical/dental/behavioral health appointments and any outstanding balances that are due and that require payment prior to the next appointment.

• Makes appointments and verifies insurance and/or payment method for appropriate department
• Responsible for appointment scheduling using approved template and guidelines.
• Appropriately notifies patients of any eligibility conflicts.
• Follows up on messages received through after hours answering service by returning all appointment related messages to ensure all patients are cancelled, and/or rescheduled in a timely manner.
• Responsible for EHR data entry for patients prior to scheduling appointments.
• Assists patients with health insurance information such as Medi-Cal, Medicare, and GMC (Geographic Managed Care) programs.
• Verifies patients have current consent forms in place and updates demographic information as needed
• Completes corrections related to data errors when necessary.
• Compliance with all state and federal laws and regulations, as they pertain to position including; HIPAA, sexual harassment, Scope of Practice, OSHA etc.
• Actively participates in internal quality improvement teams. Works with team members proactively to support quality improvement initiatives in accordance with the mission and strategic goals for the organization, federal and state laws and regulations, and accreditation standards.
• At all times demonstrates cooperative behavior with supervisors, colleagues, patients, and the community.
• Other duties as assigned.

• Data Quality
• Information Verification
• Research
• Communication
• Auditing