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Call Center Representative
2 months ago
Remote Call Center Representative Apex Systems is hiring multiple candidates for a Call Center Representative opportunity with a Fortune 500 healthcare company in Oregon and SW Washington. This is an excellent opportunity for anyone looking to get their foot in the door with a well-known healthcare company with opportunity for growth. Location: Remote in Oregon or SW Washington (only candidates in these states will be considered) Shift: 40 hours/week. Shifts vary between Monday-Friday, Sunday-Thursday, and Tuesday-Saturday. Must have flexible availability and will have the option to pick shift First day equipment pickup location: Hillsboro, Oregon Start date: 10/21 Duration: 4-month contract to start with possibility of extension or full-time after contract Pay rate: Starts at $18/hr. Job Description: Places outbound calls (regarding account status, complaints, etc.) and handles incoming calls (inquiries, complaints, etc.) and directs calls for further problem resolution, if necessary. Responsibilities: Appointing: Review medical chart to appoint according to scripts and guidelines., Schedule/reschedule/cancel appointments for services, according to scripts and guidelines. Places calls for appointment reminders and quality measure outreach., Collect care specific information for Primary Care or Specialty Care services. Messaging: Review medical chart to collect information for messages to send to health care team. Routes incoming calls from patients, physicians, nurses and other departments according to scripts and guidelines. Answers routine administrative inquires. Forwards medical and other complex inquires to appropriate personnel. Take messages as necessary., Manage electronic in-basket in multiple system applications. General Services: Assist patients by providing phone numbers, facility directions and office layouts; directing to other departments and administrative services for further information, for example (but not limited to) Membership Services, Dental and Pharmacy. Handle ingoing and outgoing departmental mail and correspondence with patients. Other related duties as developed per department need. Registration: Verify insurance eligibility and/or update all demographic information per regional policies, including Personal Provider Selection, Language Preference and Special Needs. Request and/or obtain a patient medical record number when necessary. Verify health insurance coverage and follow appropriate policy/procedure. Explain co-pays, cost shares and any other applicable fees. Create Guarantor accounts as necessary before and after Membership Service Department hours. Complete Scheduling form with above data and transfer to the Registration for completion of the pre-registration and pre-verification functions. Refers to the financial counselor as appropriate. Collect past due balances as appropriate. Practice Organization: Coordinate referrals process including wait lists per department policies and procedures. Track referrals to specialty care by utilizing the consultation/referral system as needed in those areas where this responsibility currently exists for the individual in this classification. Request copies of films, CD's, test reports, and results from outside facilities Coordinate schedules per department guidelines to maximize access. Collect and organize data per department guidelines. For example, researching and collating data from Health Connect, online quality and performance reports, MOV data, and other sources, on an ongoing basis. Develop and submit ongoing reports as requested including statistics, charts, and graphs using multiple computer programs and business math skills. Update departmental policies and forms. Required Skills: Customer service Multitasking Computer Skills Strong communication skills Critical thinking skills Required Education: High School Diploma or GED
