Call Taker

Yale New Haven Health•North Haven, CT

11h

About The Position

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. The Customer Service Representative Y Access Transport is responsible for providing professional and courteous customer service to the Hospitals, Skilled Nursing Facilities, patients and clients that call in to set up transportation, make payments, or ask any general questions about our services. This position ensures that all necessary information is obtained by the caller to schedule the proper mode of transportation or response, obtain the proper authorizations, and establish the method of payment or payor for non-emergency claims. EEO/AA/Disability/Veteran

Requirements

High School diploma or GED required. Bachelor's degree in a related field preferred.
Two (2) years EMS customer service experience or related medical service preferred.
Ability to obtain Emergency Medical Dispatcher (EMD) Certification within 6 months (180 days) of employment. Current certification as a CT EMT preferred.
Knowledge of Medicare/Medicaid Regulations Knowledge of ICD-9 and ICD-10 Codes Effective oral, written, and interpersonal communication skills Ability to work in a team-like setting, sharing responsibilities Ability to concentrate on fine detail with constant interruption
Ability to stay seated for long periods of time without relief.

Responsibilities

Answering the phone in a timely manner
Booking transportation calls for both ambulance services and wheelchair services
Booking calls from our online referral sources
Taking proper notes on calls, as to where the patient is going, which doctor, and floor for all calls with appointments, and state the reason for the appointment
Verifying benefits and identifying who the primary payor is
Attaching benefits to calls with proper file names
Submitting authorizations timely
Calculating the costs of private pay trips
Taking credit card payments
Sending out Letters of Intent for payment, with notes as to who is paying
Sending facilities or doctors' offices Medical Necessity forms
Verifying through workflows that you have double checked your days, calls for accuracy, and any authorization requests have been sent
Prebilling the calls for the selected payors
Clearing out the scan fax drive and attaching or printing any needed documents to calls
End of shift duties
Diligent adherence to protection of Personal Health Information (PHI) in accordance with the Health Insurance Portability and Accountability Act (HIPAA) regulations
Support and uphold established corporation and department policies, procedures, objectives, quality improvement, and safety standards
Maintain positive behaviors, approaches, attitude, and commitment to interpersonal service to customers, visitors, and coworkers. Maintain a calm, non-emotional, and professional atmosphere in the organization at all times
Attend scheduled department meetings and training sessions
Adhere to all company policies and procedures
Perform other duties as assigned by management