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Healthcare Customer Service Specialist
2 months ago
Overview of Responsibilities:
Engages in a range of administrative tasks within a medical office setting, including patient registration, appointment management, record maintenance, payment processing, and communication.
Required Qualifications:
1. Completion of high school education. 2. Familiarity with appointment scheduling and insurance billing is advantageous. 3. Strong interpersonal and customer service abilities. 4. Capacity to adapt to computerized medical office systems.
Key Responsibilities:
Handles incoming calls, organizes appointment schedules, facilitates patient check-in and check-out processes, contacts patients for follow-up appointments, and manages communications regarding scheduling.
Verifies daily schedules with healthcare providers and accommodates any modifications.
Utilizes electronic messaging to coordinate with other departments to enhance patient flow and records patient wait durations. Ensures accurate documentation in medical records as required for patient service functions. Aids the billing department in collecting co-payments and outstanding patient balances. Supplies the billing team with clear copies of insurance documentation and up-to-date demographic details. Reviews medical records to confirm that insurance verifications are current and accessible for other staff members.
Upholds HIPAA privacy and security standards and provides the CIS Notice of Privacy Practices to new patients or those who request it.
Undertakes additional related tasks as needed and fulfills other roles as assigned.Performance Standards:
1. Maintains a tidy and organized workspace. Reports safety concerns to the team leader promptly. 2. Operates efficiently and manages time effectively. Assists colleagues when all personal tasks are completed. 3. Communicates any issues or concerns regarding job responsibilities to the team leader. 4. Executes all tasks with minimal errors on a consistent basis. 5. Adheres to all deadlines and timelines for task completion. 6. Represents the Cardiovascular Institute of the South in a professional manner at all times.
Demonstrates the ability to interact professionally with physicians, staff, and external clients (patients, family members, insurance representatives, etc.) consistently.
Exhibits effective communication skills with physicians, patients, team leaders, and coworkers at all times. 7.Strives to maintain a cooperative relationship with fellow employees to achieve the responsibilities of the position.
While complete harmony with all employees may not always be feasible, the number of complaints received by the team leader regarding this position should be minimal.
The employee is expected to collaborate effectively with all other staff members to ensure optimal care for patients and to meet the standards of care established by the medical staff.
8.Adheres to the CIS Compliance Plan as it relates to the specific duties outlined above.
Utilizes best efforts to ensure compliance by following the CIS Corporate Compliance Plan, participating in compliance training, adhering to medical documentation protocols, and addressing any compliance-related concerns.
9.Ensures accurate and thorough documentation in the patient's medical record, as applicable. This includes both paper and electronic medical records.
10.Collaborates with electronic medical record (EMR) personnel to maintain quality and support future EMR enhancements.
11.Safeguards patient confidentiality in accordance with HIPAA privacy and security regulations.