Call Center Representative III

Trinity Health•Rensselaer, NY

2d•Onsite

About The Position

This position is located in person at 295 Valley View Blvd Rensselaer, NY. Call Center experience highly preferred. Quality of Life: Where career opportunities and quality of life converge. Advancement: Strong orientation program, generous tuition allowance and career development. Work/Life: Office Hours, Monday - Friday.

Requirements

High School Diploma or GED.
3+ years’ previous experience in a combination of patient services, medical reception, call/customer Call Center (medical environment) or other relevant business environment.
Knowledge of virtual PPCC protocols, processes and procedures related to position responsibilities.
Excellent written (legible), verbal and face-to-face communication skills, including proper phone etiquette.
Proficient/knowledgeable in-patient care procedures and organizational policies related to position responsibilities.
Service-oriented; responsive to customer needs and courteous in approach.
Ability to monitor, organize and keep work area neat.
Proficient in operating a standard desktop and Windows-based computer system including, but not limited to, electronic medical records, Microsoft Word /Excel/Outlook, intranet and computer navigation.
Ability to compute mathematical calculations.
Sufficient knowledge of medical terminology, billing, insurance, referrals and authorizations to perform responsibilities.
Ability to work collaboratively in a team-oriented environment; displays professional and friendly demeanor.
Ability to work effectively with various levels of organizational members and diverse populations including SPHPMA staff, patients, family members, vendors, outside customers and couriers.
Good organizational and time management skills to effectively juggle multiple priorities and time constraints.
Ability to exercise sound judgement and problem-solving skills, specifically as it relates to resolving or escalating difficult or complex issues to appropriate areas as needed.
Ability to handle patient and organizational information in a confidential manner.
Ability to travel to other office/practice sites and meeting and training locations.
Successful completion of SPHPMA competency-based program within introductory and training period.
Physical activity that often requires keyboarding, filing and phone work.
Physical activity that often requires extensive time working on a computer.
Physical activity that sometimes requires walking, standing, bending, stooping, reaching, and/or twisting.
Physical activity that sometimes requires lifting, pushing and/or pulling under 30 lbs.
Specific vision abilities required include close vision, depth perception, peripheral vision and the ability to adjust and focus.
Manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator and other office equipment.
Must hear and speak well enough to conduct business over the telephone or face to face for long periods of time in English.
This job operates in a typical call center/office environment which involves frequent interruptions and significant interaction with people which can be stressful at times.

Nice To Haves

Course work in insurance/billing, medical practice education or seminars are all preferred.

Responsibilities

Serves as a first point of contact for customers by phone, as well as a liaison between external customers and medical staff.
Answers incoming calls, assesses the urgency of the call, appropriately triages and directs all calls according to established procedures to ensure optimal quality patient.
Schedules patient appointments, communicates and coordinates scheduling with clinical personnel to optimize patient care and efficiency.
Provides a high level of customer service to all internal and external customers.
Assists supervisors with staff scheduling, precepting/on-boarding, process improvement projects, recruiting and more complex patient issues.
Assists supervisors with more complex patient issues.
Assists supervisors with staff schedules.
Assists with recruiting interviews.
Assists supervisors with audits of work performed for accuracy.
Co-manages submission forms in supervisor’s absence.
Serves as resource for staff.
Precepts/onboards new/current Representatives per preceptor program requirements.
Assists with staff training; identifies skill gaps.
Assists with managing current workflows and identifies potential new workflows.
Participates in process improvement projects.
Acts as system superuser; able to relay information to the team.
Participates in and assists leading of staff meetings.
Supports other offices, attends meetings and training as assigned.
Performs other duties as assigned.
Creates a positive, professional, service-oriented work environment for staff, patients and family members by supporting the mission and values of both SPHPMA and Trinity Health.
Must be able to work effectively as a member of the Call Center team.
Assumes responsibility for performance of job duties in the safest possible manner, to assure personal safety and that of coworkers, and to report all preventable hazards and unsafe practices immediately to management.
Successfully completes SPHPMA’s “The Customer” training and adheres to SPHPMA’s standard of promptly providing a high level of service and respect to internal or external customers.
Maintains knowledge of and complies with SPHPMA standards, policies and procedures.
Maintains complete knowledge of office services and in the use of all relevant office equipment, computer and manual systems.
Maintains strict patient and employee confidentiality in compliance with SPHPMA and HIPAA guidelines.
Serves as a role model by demonstrating exceptional ability and willingness to take on new and additional responsibilities. Embraces new ideas and respects cultural differences.
Uses resources efficiently.
If applicable, responsible for ongoing professional development – maintains appropriate licensure/certification and continuing education credentials, participates in available learning opportunities.