Call Center Representative

Location
Washington, District of Columbia-Washington
Posted
Oct 24, 2020
Closes
Oct 29, 2020
Ref
200001HJ
Function
Nurse
Industry
Healthcare
Hours
Full Time
Register and schedule patients' appointments by telephone utilizing the physician scheduler and individual departmental guidelines. Communicate with parents, patients, physicians, community doctors/staff and other staff in a courteous manner . Responsible for obtaining and validating patient information from various sources and to ensure information entered into the computer management system is accurate. Promote customer service environment.

Qualifications

Minimum Education
High School Diploma or GED

Minimum Work Experience
1 year - Experience performing patient registration and scheduling, medical insurance screening and verification (Required) OR Equivalent customer service or call center experience and education can be considered in lieu of patient registration experience (Required)

Experience in healthcare setting preferred. (Preferred)

Telephone call center experience helpful. (Preferred)

Functional Accountabilities

Registration and Scheduling Services
1. Provide client support to parent/guardian via phone for any or all of the following: on-line registration help; scheduling, rescheduling and/or canceling of appointments whether by parent/guardian or department; inform patient/parent of any departmental scheduling guidelines associated with appointment; reschedule all appointments related to clinic maintenance cancellation.
2. Notify parent of the need for completed insurance referral form or any pre-authorization of treatment prior to scheduled appointment; discuss co-payment or payment in full requirements; counsel or refer parent to central business operation's financial counseling or establish a payment plan.
3. Complete calls in an accurate and timely manner; transfer calls to appropriate areas as needed; notify manager/supervisor of difficult calls (clarification re insurance, problem callers, etc.); seek appropriate resources to solve problems effectively .
4. Anticipate customer service needs to "prevent fires."
5. Enter appropriate notes in the system; obtain necessary information for accurate and complete documentation of all registration printouts, consent documents and other forms.
6. Anticipate customer service needs to "prevent fires."

Verifying Insurance/Authorization and Process Improvement
1. Work with insurance companies to verify insurance eligibility and coverage for anticipated services using EVS, ENVOY , Mamsi-online, UHC and calling insurance; obtain authorization and benefit information from insurance companies as appropriate; document authorization and information in Account Notes and fields.
2. Collect and verify demographic, PCP/referring physician and insurance information.
3. Make recommendations for internal process improvements.

Safety
1. Speak up when team members appear to exhibit unsafe behavior or performance
2. Continuously validate and verify information needed for decision making or documentation
3. Stop in the face of uncertainty and takes time to resolve the situation
4. Demonstrate accurate, clear and timely verbal and written communication
5. Actively promote safety for patients, families, visitors and co-workers
6. Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance

Children's National Health System is an equal opportunity employer that evaluates qualified applicants without regard to race, color, national origin, religion, sex, age, marital status, disability, veteran status, sexual orientation, gender, identity, or other characteristics protected by law.

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