Representative,PCC Operations

Pediatric Associates•Laguna Hills, CA

11d•$21 - $29•Hybrid

About The Position

PRIMARY FUNCTION Answer incoming calls from our patients to provide outstanding customer service in support of our mission, goals and values. ESSENTIAL DUTIES AND RESPONSIBILITIES This list may not include all the duties that may be assigned. Answer incoming calls by welcoming patients with a professional, upbeat, friendly attitude. Follow prepared scripts based on call type. Register new patients by gathering pertinent information and entering XPM system. Verify insurance coverage and information. Set patient appointments upon request and identify future visits. Document accurately and efficiently within all systems (XPM, CRM, EHR). Document all questions and messages for Clinicians and label them properly using our telephone communication access protocol. Data entry and maintenance of customer databases. Properly obtain and confirm patients/caller information abiding by HIPPA law. Collect all necessary and pertinent information over the phone to facilitate timely and accurate physician follow-up. Complete any necessary referrals requested by telephone contact for provider approval. Provide customers with product and service information. Respond to patient inquiries. Research required information using available resources. Communicate with offices when necessary. Handle customer complaints and other customer support related issues and provide customers with proper solution. Meet established standards within all performance criteria. Attend any necessary training/meetings to be up to date on protocol changes and available training. Other duties may include, but are not limited to, outbound calls, copying, faxing, etc. Below are additional functions of the job for Patient Contact Center Representatives that will perform as clinical agents: (This list may not include all the duties that may be assigned.) Provide medical guidance via telephone using our telephone communication access protocol, clinical triage algorithms, and clinical judgment. Document all medical advice given over the phone. Schedule appointments using clinical prioritizing protocols and our scheduling policies. LPNs and Registered Nurses answer calls and questions from Patient Contact Center Representatives and can triage high acuity patients.

Requirements

High School diploma or equivalent. Experience may commensurate education.
Prefer minimum of one year experience in a call center environment.
Previous customer service experience required.
Must have strong verbal, written, and interpersonal communication skills.
Demonstrates ability to work well in a team environment.
Strong multi-tasking skills.
Attention to detail, accuracy and timeliness are critical.
General PC knowledge including Microsoft Office, Internet, and Email.
Needs to be proficient in Power Point.
Representatives that are performing as Clinical Agents require at least one of the following licensures or certificates.
MA diploma or certificate, LPN, or Registered Nurse.

Nice To Haves

Knowledge of XPM and CRM system desired.
Familiar with automated call distribution, IVR, and skill-based routing systems.
Knowledge of XPM/EHR and Contact Recorder desired.
Familiar with automated call distribution, IVR, and skill-based routing systems.
Experience with coaching and mentoring employees.

Responsibilities

Answer incoming calls by welcoming patients with a professional, upbeat, friendly attitude.
Follow prepared scripts based on call type.
Register new patients by gathering pertinent information and entering XPM system.
Verify insurance coverage and information.
Set patient appointments upon request and identify future visits.
Document accurately and efficiently within all systems (XPM, CRM, EHR).
Document all questions and messages for Clinicians and label them properly using our telephone communication access protocol.
Data entry and maintenance of customer databases.
Properly obtain and confirm patients/caller information abiding by HIPPA law.
Collect all necessary and pertinent information over the phone to facilitate timely and accurate physician follow-up.
Complete any necessary referrals requested by telephone contact for provider approval.
Provide customers with product and service information.
Respond to patient inquiries.
Research required information using available resources.
Communicate with offices when necessary.
Handle customer complaints and other customer support related issues and provide customers with proper solution.
Meet established standards within all performance criteria.
Attend any necessary training/meetings to be up to date on protocol changes and available training.
Other duties may include, but are not limited to, outbound calls, copying, faxing, etc.
Provide medical guidance via telephone using our telephone communication access protocol, clinical triage algorithms, and clinical judgment.
Document all medical advice given over the phone.
Schedule appointments using clinical prioritizing protocols and our scheduling policies.
LPNs and Registered Nurses answer calls and questions from Patient Contact Center Representatives and can triage high acuity patients.