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Company Contact Info

  • Brea, CA
  • Medix

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Scheduler/Customer Service Representative

Medix • Brea, CA

Posted 2 months ago

Job Snapshot

Travel - Up to 25%
Degree - High School
Healthcare - Health Services
Health Care
Relocation - No

Job Description

Essential Job Duties:

  • Handles intake of multiple phone lines using established scripts, protocols and service processes.

  • Responds to each call in an efficient, effective, and professional manner.

  • Accurately tracks and enters calls using appropriate documentation, reporting, and database applications.

  • Providing status of HMO referrals

  • Requesting modifications and/or extensions to authorizations

  • Taking Messages/Transferring calls

  • Verify eligibility (important candidates know this → training on this will be provided also)

  • Assisting patients with connecting to patient portal

  • Resetting passwords for patient portal accounts

  • Assists with maintaining department databases and resource tools.

  • Notifies patients of urgent approvals and denials within appropriate time frames, per guidelines set.

  • Coordinates communication and patient services with Utilization Management Team.

  • Functions as a liaison between internal departments and patients regarding referral status, authorizations, scheduling appointments, eligibility, patient portal registration, physician information, and complaint resolution.

  • Interacts with multiple departments, e.g., Resource Management, I.S., Providers, Utilization Management, Claims, and Eligibility to provide resolution to patient and health plan/vendor enquiries.

  • Understands and uses proper procedures to resolve problems, escalate issues, and achieve objectives in a productive and cooperative manner.

This position does require some travel between two offices and flexibility in start times.

Job Requirements

1 year + Healthcare Call Center / Scheduling experience Medical Background & Understanding of Medical Terminology (must!) Insurance verification, authorizations and referrals experience Excellent verbal, written & interpersonal communication skills Open to MA's that are interested in Call Center environment
Job ID: 83629
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