Call 4 Health Careers

Patient Care Representative (PCR) - MD

Linthicum Heights, Maryland   Operations   Production ID: 001   Job Type: Non- Exempt

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Job Summary
Provides excellent, consistent and compassionate quality customer service to client’s patients while meeting or exceeding quality assurance scores, Key Performance Indicators, (KPI), including but not limited to other metrics determined by Operations Department, which evaluates success.

Duties and Responsibilities
Process all calls, regardless of account(s), on all clients’ telephone lines in an efficient, effective, and courteous manner. Follow all instructions, procedures, protocols, and updates necessary for answering, handling, and dispatching calls according to the information, updates and changes available in each account. Provides professional patient care services by obtaining and verifying necessary demographic, insurance and other vital information requested by the client. Responsible for scheduling and re-scheduling patient appointments, answering questions based on account scripting, code calls, specialty account protocols, additionally training on accounts if needed by department/company/client(s) and department needs, booster training, re-tooling for training on accounts.

  • Answer all phone calls professionally, courteously, and compassionately
  • Respond to patient(s) and client(s) with the utmost courtesy and professionalism always
  • Responds to calls according to specific guidelines approved by client
  • Screens appointment calls for emergencies (911) and urgent requests to appropriate team
  • member(s) as necessary
  • Make appointments for services as requested by canceling and rescheduling appointments as necessary
  • Verifies and updates information for every appointment made based on script
  • Add new account information as identified
  • Arranges for specific patient needs, including interpreter service
  • Reviews the appointment screen for financial/clinical and other flags and refers patient according to client’s protocol
  • Make phone reminders to patients for the next day appointments – Daily
  • Takes complete message with patient information and concerns, and forwards for appropriate follow-up.
  • Take messages accurately and efficient
  • Process all calls assigned to his/her division in keeping with the operating procedures and performance standards set by the company and client(s)
  • Enter and report all calls and contacts in a timely, accurate, complete and efficient manner
  • Make sure all calls are dispatched to the appropriate on call in a timely manner
  • Communicate effectively with upper management with any situation with clients and fellow employees
  • Be a team player, be accountable for your schedule
  • Train on other accounts as needed based on the business needs of company clients
  • Flexible with schedule, open to working weekends, overtime, split shifts if needed
  • Team player; work on a team effectively
  • Understand and abide by HIPAA guidelines, abide by all company policies
  • Perform other duties assigned by Management
  • Other duties assigned dependent on various departments

Education and/or Experience

  • High School Diploma or equivalent
  • Call Center Experience/ Medical Office Experience
  • Excellent Customer Service

Tools and Equipment Used
Computer, including word processing, spreadsheet, email and database application software;
printer; phone; scanning equipment; copy machine; and fax
 
Qualifications

  • Great Communication and Customer Service Skills
  • Spelling, Typing and Sentence Structure Skills
  • Active listening skills
  • Able to Multi-task and Motivate other
  • Great Attitude & Attendance
  • Team Player; Receptive to Feedback & Coaching
  • Accountable & Compassionate
  • Willingness to Teach and be Taught

Physical Requirements

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • While performing the duties of this job, the employee is frequently required to sit for long periods of time, walk, talk; hear and comprehend. The employee is occasionally required to stand; use hands to operate keyboard, phones, (and other office equipment listed above); stoop, kneel, or crouch.

Work Environment

  • Able to work in a fast paced, noisy Call Center environment
  • Able to have professional working relationships with various personalities
  • Flexible, Adaptable to constant change, Ability to deal with stress

This job description may change, and/be modified with or without notice based on the department, client and/or company needs.

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