Lincoln, Rhode island
Customer Care Representative (CCR/Call Center Rep) Job Opening in Lincoln, Rhode island - The CSI Companies is actively seeking a Customer Care Representative for our client located in the Lincoln, RI *area!!*
The CSI Companies is a national staffing firm.
Job Type: Contract position (potential to convert permanently - NO GUARANTEES: Based off performance and attendance)
*Weekly pay provided (Fridays) and health, dental and vision insurance offered!
Pay Rate: $13/ hour
Work schedule: 10:30pm to 7:00pm, a weekend day may be required.
Training: 10:00 - 6:30PM Monday - Friday
Duration: Contract position
Details:
As a Customer Care Representative, 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 clinic visits, patient billing statements, issues related to possible customer reimbursements, resolving patient payment concerns related to clinic 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, followup inquiries, and medical records.
Additionally, you will work with other areas within the clinic 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 our client's values
Responsibilities:
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 CVS Compliance and Persistency Programs.
Consult with patients in accordance with our clinic 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 (PCP's) 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 clinic 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 clinic to District Managers of Operations.
Educate patients about their current diagnosis and proper follow up care.
Respond with professionalism and empathy to and resolve customer concerns regarding treatment and the use of antibiotics for viral verses bacterial infections.
Attend to office and operational tasks needed.
Use computer software provided as required for communication and obtaining essential information.
Adhere to the schedule to support the business needs of availability to the patients.
Filter calls/emails to the appropriate sources within the organization.
Participate in Operations committee meetings as requested and attend active weekly team meetings.
Highly developed ability to communicate clearly, accurately and professionally, both verbally and in writing
Able to function in a high volume, production oriented, time sensitive environment
Able to work with strong attention to detail
Demonstrated ability to multi-task
Proven ability to work independently with minimal supervision and proven ability to function well in a team environment
Proficiency in data entry, Microsoft Word and Excel, Microsoft Outlook and the ability to master internal computer applications;
Electronic Medical Records experience preferred Demonstrated ability to maintain information in the strictest confidence
Able to handle inquiries, and exercise good judgment in working with personnel both internal and external to the Company and apply critical thinking skills to solve problems
Call Center operates 7 days a week, so rotating one or two day weekends are required; including holidays
Experience:
Inbound call center experience in a high-volume or fast-paced customer service setting
Healthcare billing experience and experience explaining coverage to patients is a plus
Knowledge of medical terminology is a plus
Experience with electronic medical records and data entry.
Required Qualifications:
1+ years of customer service experience required
1+ years using Microsoft Word, Excel, and Outlook in a professional or academic setting
Education:
High School Diploma or GED required, Bachelor's degree preferred
Job Type: Full-time
Salary: $13.00 /hour
Required education:
High school or equivalent
Required experience:
Call Center: 1 year
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