Patient Support Center Representative - Remote

Remote Patient Support Center Representative - Requirements

• Prior experience taking calls in a high-volume call center.
• Recent experience in assisting customers with questions pertaining to health care providers and prescriptions.
• Ability to quickly address customer issues or escalate to the appropriate resolving teams.
• Function as a team player to help as an effective member of the team.
• Ability to multitask in a fast paced, high-stress environment.
• Must be flexible for occasional shift changes or modifications.

Patient Support Center Representative - Company Benefits

• Long-term opportunity with a great chance of being hired permanently.
• Incredible company culture with great growth opportunities.
• 100% Remote.
• Paid training.

Patient Support Center Representative - Job Description

Our client, a national Healthcare Services Provider, is currently hiring several individuals to work in their customer support division. Patience Support Center Representatives function as a patient advocate to help resolve patient issues pertaining to claims, benefits referrals, physicians, and access. This position is 100% remote and also assists with patient education and ensures that required services are delivered to patients. Daily, Patient Support Center Representatives are expected to:

• Answer approximately 60 to 80 inbound customer calls to address inquiries and concerns from members within set productivity guidelines.
• Serve as the liaison between the patients and other department sites.
• Assist new or potential members in the choice of preferred care providers and supply general information about the medical group.
• Provide services to internal and external customers involving the exchange of complex and sensitive information while acting as patient advocate. (HIPPA Guidelines).
• Page clinicians and assist Telehealth Nurses as necessary (e.g., arranging DME, transportation and HH).
• Utilize internal systems to resolve customer needs such as appointments, authorizations, claims, invoices, eligibility, benefits, appeals, TARs.
• Translate oral information into concise and accurate written documentation per guidelines.
• Data enter PCP changes into the system and processes paperwork, as necessary.
• Use, protect, and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
• Recognize financial, medical, and legal risks based on data collected during customer interactions and follows appropriate procedures.

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