Patient Services Specialist III #Full Time

61st Street Service CorpFort Lee, NJ
17d$31 - $37

About The Position

Top Healthcare Provider Network The 61st Street Service Corporation, provides administrative and clinical support staff for ColumbiaDoctors . This position will support ColumbiaDoctors, one of the largest multi-specialty practices in the Northeast. ColumbiaDoctors practices comprise an experienced group of more than 2,800 physicians, surgeons, dentists, and nurses, offering more than 240 specialties and subspecialties. Job Summary: The Patient Services Specialist III provides support to the department-wide call center that handles large volumes of inquiries and requests from patients and customers for access/assistance in scheduling diagnostic and/or interventional radiology services, physician referral/appointments, and general information for the Department of Radiology. This is a lead role that is responsible for supporting, guiding and mentoring Patient Services Specialists to ensure quality assurance of all scheduling. The Patient Services Specialist III is part of a team that delivers an exceptional patient experience through excellent customer service, empathy and patience.

Requirements

  • High School Diploma or equivalent required.
  • Minimum of 5 years of relevant experience in a comparable setting, including proficiency in medical terminology.
  • For IR track, surgical or invasive subspecialty experience is required.
  • Advanced customer service skills and the ability to maintain a pleasant and helpful demeanor through all situations, including the ability to maintain professional demeanor under pressure due to the high volume and urgent nature of calls.
  • Advanced skills in problem assessment, using good judgment, and collaborative problem solving in complex and interdisciplinary settings.
  • Ability and/or experience leading and influencing teams and/or team-building skills.
  • Excellent verbal and written communication skills, including interpersonal skills.
  • Ability to communicate in a clear and concise manner to ensure understanding of information by patients and customers.
  • Intermediate proficiency with Microsoft Office (Word and Excel) or similar software is required, and an ability and willingness to learn new systems and programs.
  • Ability to work independently and follow through and handle multiple tasks simultaneously.

Nice To Haves

  • Associates degree or higher preferred.
  • Prior high volume customer service experience in a call center environment is preferred.
  • Bilingual (English/Spanish) a plus.

Responsibilities

  • Schedule appointment requests for diagnostic or interventional radiology services.
  • Utilize existing tools to facilitate securing the right appointment with the right medical provider or team.
  • Indicate special needs (e.g., special accommodation, interpreter, etc.).
  • Communicate insurance participation, financial responsibility (if applicable), and time of service policy to patient population.
  • Ensure that patients understand the arrival and check-in process, pre-appointment instructions and patient safety precautions, and other relevant information.
  • Email specialty patient forms if needed.
  • Obtain patients insurance and demographic information and ensure all obtained information is registered in Epic.
  • Accurately complete required tasks and fields in pre-registration.
  • Resolve escalated insurance-related cases.
  • Escalate issues for resolution when appropriate.
  • Conduct investigations, collect related information, and document issues.
  • Track and follow through for complete resolution.
  • Make recommendation to update/revise procedure or workflow as needed.
  • Escalate issues/cases to Supervisor/Manager for resolution.
  • Foster a teamwork approach.
  • Facilitate team discussions about complex patient scheduling needs.
  • Help identify solutions and take ownership for resolving scheduling conflicts.
  • Communicate with management team and care providers to resolve scheduling issues.
  • Collaborate with all coworkers and follow up as appropriate regarding reported complaints, problems, and concerns.
  • Take ownership for resolving scheduling conflicts and communicate with management team and care providers to resolve scheduling issues.
  • Collaborate with all coworkers and follows up as appropriate regarding reported complaints, problems, and concerns.
  • Ensure "warm transfer" of calls/inquiries are routed to the correct party for resolution.
  • Help identify and document trends using established protocol and communication methods.
  • Collect pre-registration information to address outstanding Epic work queue accounts.
  • Perform outbound calls to perform Epic referral scheduling.
  • For the purposes of cross-coverage, may perform duties in the Authorization area.
  • Perform other related duties as assigned.
  • Coordinate pre-procedure testing and clearances and ensure complete and accurate documentation of pertinent information in Epic.
  • Escalate complex cases as needed to RNs to ensure successful remediation.
  • Provide practice support by handling physician messages and work queues as assigned.
  • Help mentor other Specialists to resolve complex issues/cases.
  • Escalate such cases to Supervisor for resolution.
  • Ensure remedy is executed in a successful manner.
  • Coordinate lunch schedules to ensure coverage.
  • Prepare agenda items for specialty pod huddles.
  • Work with supervisor to develop agenda.
  • Ensure that all issues are covered and cascaded.
  • Train assigned new and established Patient Service Specialists on demographic and insurance registration in accordance with established guidelines and physician protocols.
  • Train new and established Patient Service Specialists on scheduling protocols.
  • Coach Specialists on telephone skills and demonstrate professional standards through personal example and leadership.
  • Help identify Specialists who may need additional coaching or training.
  • Make recommendations to Manager on ways to improve training and knowledge sharing.
  • Assist with the day-to-day activities relating to process problems/changes, inter-department communication, receiving feedback, and adjusting workflow.
  • Identify opportunities to improve processes to support ever-changing requirements in healthcare, ensuring that the unit is adequately supporting organizational needs.
  • Make recommendations to management.
  • Work on escalated cases with higher complexity as assigned.
  • Provide suggestions and recommendations to improve workflow, communication, and overall protocols to better serve the needs of the patients and department.

Benefits

  • The Service Corporation offers a competitive comprehensive Benefit package to eligible employees; including Healthcare and various other benefits including Paid Time off to promote a healthy lifestyle.
  • We are an equal employment opportunity employer and we adhere to all requirements of all applicable federal, state, and local civil rights laws.
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