About The Position

The Customer Service Specialist serves our patients, members, and providers. Responsible for answering phone calls and scheduling patient appointments. Triages phone calls as necessary. May conduct patient/member pre-certification to ensure coverage for appointments and medical care. With the assistance of data and technology, they function as a liaison and ensures a high value and personalized experience.

Requirements

  • For Hoag Clinic: Member Advocate III Bachelor’s degree or obtaining a bachelor’s degree in healthcare related field OR certified medical assistant OR Licensed Vocational Nurse
  • 3 years of customer service experience; 2 years of experience within a call center or healthcare setting with direct patient interaction
  • Previous work experience working as a care coordinator, member advocate, or health care unit coordinator or similar health related job function
  • For Revenue Cycle: CPS Specialist III High School Diploma or equivalent
  • Complete 1 year of employment in Access Department or Front Desk scheduling or customer service experience
  • Complete 1 year experience in scheduling at Hoag Hospital
  • Accuracy 98%, for registrations and appointments
  • Productivity exceeds 60 registrations or appointments per day
  • Completes appointments in RMS and Affinity and meets monthly collection goals
  • Has helped develop or complete 2 policy and procedures for the CPS department and mentors staff on a consistent basis
  • Provided in-service to partnering departments on different processes or systems utilized with CPS
  • Mastered the 5 Declarations and actions of Own IT process

Nice To Haves

  • Bilingual skills preferred
  • For Hoag Clinic: Member Advocate II Licensed Vocational Nurse
  • For Hoag Clinic: Member Advocate III Certified Medical Assistant
  • Certified Medical Interpreter
  • For Revenue Cycle: CPS Specialist III Medical Terminology certification

Responsibilities

  • answering phone calls
  • scheduling patient appointments
  • Triages phone calls as necessary
  • conduct patient/member pre-certification to ensure coverage for appointments and medical care
  • function as a liaison and ensures a high value and personalized experience
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