Call Center Representative

Responsibilities

• Answer phones in a professional and courteous manner and respond to patient/customer requests as appropriate.
• Transfer calls or respond to requests accurately connecting patients to the correct department.
• Absorb and input patient demographic, insurance, medical, and financial information into the practice management system.
• Verify patient insurance coverage by navigating multiple systems to retrieve eligibility information.
• Verify prior authorization and primary care provider assignment and help resolve issues to access.
• Inform patients of their co-pay, outstanding balance, or other patient responsibility due.
• Manage patient intake forms, insurance eligibility checks, prior authorization, and other documentation.
• Collaborate with the Health Benefits Navigators to act upon and resolve any issues involving patients who are uninsured or underinsured.
• Work efficiently both individually and within a team to accomplish required tasks.
• Assist in coordinating patient referrals to specialists or other departments.

Qualifications

• High school diploma or equivalent
• Minimum of one year’s experience in a customer service-related position preferably in a health care setting
• Data entry, computer, and phone skills are required
• Proficiency in Microsoft Office and EHR systems is preferred
• Able to work independently and with other members of a team
• Effective communication and interpersonal skills
• Must be able to remain calm and professional in a fast-paced environment
• Able to work effectively in a high call volume environment
• Bi-lingual language skills are highly preferred