We are urgently looking for call center reps to work in a healthcare call center in Cumberland, RI. We are looking for those with at least 6 months of high volume call center experience.
Shift: Training schedule Monday – Friday training hours 9-5:30.
Work schedule after training will be 1PM – 9:30 PM during the week and noon – 8:30PM on the weekend day. Weekend shifts as assigned, typically 1 weekend shift per alternating weeks.
Job details:
The Patient Support Specialist is responsible for providing concise patient and prescription information in accordance with HIPAA requirements via various sources. This position maintains and supports the integrity of the Privacy Office to ensure HIPAA compliance when providing Protected Health Information. Additionally, the person in this role provides support to Compliance and Persistency Programs.
Consult with patients in accordance with guidelines and state rules with direction from RN. Provide patients with support on medication reactions. Inform patients of strep test results or other documented findings in their records as requested. Assist patients with general information as required. Call patients back in timely manner. Initiate patient concern process, data entry, and appropriate follow up via electronic and phone. Print and mail visit summaries to Primary Care Providers (PCPs) that were unable to be faxed. Triage patient symptoms for acuity and recognize when clinically appropriate to refer callers to other facilities such as Specialist, Urgent Care, or Emergency Rooms. Report critical clinical patient information to high level practitioners.
Ascertain what patients are within the scope of practitioners and if not provide alternative suggestions. Interpret and report value parameters of lab results to patients and practitioners. Understand and follow all regulations and standards concerning protected healthcare information and HIPAA. Provide quality assurance by reporting practices that are out of scope for to District Managers of Operations. Educate patients about their current diagnosis and proper follow up care
Patient Support Call Center is open all holidays except Christmas. Work schedule will include 1 weekend day. The department is open on all holidays except Christmas, so workers may be scheduled to work on a holiday. As a Patient Support Specialist, you will work to resolve patient billing and insurance inquiries, as well as respond to patient inquires related to visits, treatments and services. You will be responsible for answering incoming calls related to visits, patient billing statements, issues related to possible customer reimbursements, resolving patient payment concerns related to claims, and other general inquiries. You will be responsible for providing concise medical and prescription information in accordance with HIPAA compliance requirements, including but not limited to recent visits, follow up inquiries, and medical records. Additionally, you will work with other areas within to obtain the necessary information to resolve patient concerns, insurance billing issues, and all service related inquires while ensuring the utmost level of customer satisfaction in accordance to company values.
If you are interested in in this position please call Gabrielle at 866-352-3337 to immediately discuss you qualifications for this position

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