Call Center Representative, Silver Spring

Children's National Hospital•Pittsburgh, PA

10d•$18 - $27•Onsite

About The Position

This role involves registering and scheduling patients' appointments via telephone, utilizing specific physician scheduler systems and departmental guidelines. The representative will communicate courteously with parents, patients, physicians, and other staff. A key responsibility is obtaining and validating patient information from various sources to ensure accuracy when entered into the computer management system, while also promoting a customer service-oriented environment.

Requirements

High School Diploma or GED (Required)
1 year Experience performing patient registration and scheduling, medical insurance screening and verification. (Required)

Responsibilities

Register and schedule patients' appointments by telephone utilizing the physician scheduler and individual departmental guidelines.
Communicate with parents, patients, physicians, community doctors/staff and other staff in a courteous manner.
Obtain and validate patient information from various sources and ensure information entered into the computer management system is accurate.
Promote a customer service environment.
Provide client support to parent/guardian via phone for on-line registration help; scheduling, rescheduling and/or canceling of appointments.
Inform patient/parent of any departmental scheduling guidelines associated with appointment.
Reschedule all appointments related to clinic maintenance cancellation.
Notify parent of the need for completed insurance referral form or any pre-authorization of treatment prior to scheduled appointment.
Discuss co-payment or payment in full requirements; counsel or refer parent to central business operation's financial counseling or establish a payment plan.
Complete calls in an accurate and timely manner.
Transfer calls to appropriate areas as needed.
Notify manager/supervisor of difficult calls (clarification re insurance, problem callers, etc.).
Seek appropriate resources to solve problems effectively.
Anticipate customer service needs to "prevent fires."
Enter appropriate notes in the system.
Obtain necessary information for accurate and complete documentation of all registration printouts, consent documents and other forms.
Work with insurance companies to verify insurance eligibility and coverage for anticipated services using EVS, ENVOY , Mamsi-online, UHC and calling insurance.
Obtain authorization and benefit information from insurance companies as appropriate.
Document authorization and information in Account Notes and fields.
Collect and verify demographic, PCP/referring physician and insurance information.
Make recommendations for internal process improvements.
Speak up when team members appear to exhibit unsafe behavior or performance.
Continuously validate and verify information needed for decision making or documentation.
Stop in the face of uncertainty and takes time to resolve the situation.
Demonstrate accurate, clear and timely verbal and written communication.
Actively promote safety for patients, families, visitors and co-workers.
Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance.