Call Center Representative

Universal Community Health CenterLos Angeles, CA
Hybrid

About The Position

The Call Center Representative operates a multiline/ACD telephone system to answer a high volume of inbound patient calls across all UCHC clinic sites in a prompt, courteous, and professional manner. This role serves as a centralized point of contact for scheduling, patient inquiries, insurance verification, and general information, ensuring patients are connected to the appropriate care team, service, or resource.

Requirements

  • High school diploma or equivalent required.
  • Ability to type accurately and navigate multiple computer systems simultaneously while speaking with callers.
  • Excellent verbal and written communication
  • Active listening
  • Service orientation
  • Critical thinking
  • Social perceptiveness
  • Strong customer service skills; ability to remain calm and professional under high call volume
  • Ability to multitask across phone, scheduling, and documentation systems
  • Attention to detail and accuracy in documentation
  • Bilingual-English/Spanish required.

Nice To Haves

  • 1+ year of call center, customer service, or medical office/scheduling experience preferred
  • Experience in a healthcare or FQHC setting strongly preferred.
  • Experience with multiline phone systems, ACD/call center software, and electronic health record (EHR) or practice management scheduling systems preferred.
  • Knowledge of medical terminology and insurance verification (HMO, PPO, Medicare, Medi-Cal) preferred.

Responsibilities

  • Answers a high volume of inbound calls through the multiline/ACD call center telephone system, screening and directing calls and messages to the appropriate department, clinic site, or provider.
  • Documents phone encounters, messages, and call outcomes in the electronic health record (EHR) or call center system in accordance with organizational documentation standards.
  • Schedules, reschedules, and cancels patient appointments across all clinic sites and departments according to established scheduling protocols and provider templates.
  • Verifies medical insurance eligibility and benefits (HMO, PPO, Medicare, Medi-Cal, and other payors) prior to or during scheduling.
  • Acts as a patient relations representative by answering patient inquiries within the limits of their knowledge and UCHC policies and procedures, escalating complex or sensitive issues as needed.
  • Retrieves and responds to messages from the after-hours answering service and coordinates timely handoff of urgent messages to clinical staff.
  • Offers information on available government assistance programs and the sliding fee scale to patients as needed.
  • Follows HIPAA confidentiality and security rules when providing patient information over the phone.
  • Answers questions about the organization and provides callers with accurate information about UCHC services, locations, hours, and directions.
  • Meets established call center performance standards, including call quality, average handle time, and call volume/productivity metrics.
  • Escalates complex, clinical, or urgent calls to the appropriate supervisor, nurse triage line, or department.
  • Participates in ongoing training on scheduling systems, EHR, and call center software and technology.
  • Performs other tasks as deemed reasonable by the Call Center Supervisor.
  • The company reserves the right to add or change duties at any time.
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