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Patient Assistance Representative - Call Center

NTT DATA Cumberland, RI Full-Time
$15.00/ hour
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Be part of a dynamic team that supports a business that positively impacts over 20,000 patients a month! As a Patient Support Specialist, you will work to resolve patient billing and insurance inquiries, as well as respond to patient inquires related to visits, treatments and services.

  • Training schedule is Monday – Friday training hours 9-5:30.
  • Work schedule after training will be 1:00 PM - 9:30 PM during the week
  • Noon – 8:30 PM on the weekend day - ****Weekend shifts as assigned, typically 1 weekend shift per alternating week***

Role Responsibilities

  • Answer 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.
  • Provide concise medical and prescription information in accordance with HIPAA compliance requirements, including but not limited to recent visits, follow up inquiries, and medical records.
  • Work with other areas 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 Company's values
  • Provide support to Compliance and Persistency Programs.
  • Consult with patients in accordance with company 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.
  • Print and mail visit summaries to Primary Care Providers 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 to District Managers of Operations.
  • Educate patients about their current diagnosis and proper follow up care
  • Inbound call center experience in a high-volume or fast-paced customer service setting
  • Knowledge of medical terminology and experience with electronic medical records
  • 1+ years of experience in customer service and data entry
  • 1+ years of experience utilizing MS Word, Excel, and Outlook
  • Verifiable GED or High School Diploma

Recommended skills

Scheduling
Electronic Medical Record
Medical Terminology
Claims
Medical Records
Customer Service

Location

Salary Details

This salary was provided in the Job Posting.
$15
Hourly Salary

Career Path

See the next step in your career
Patient Assistance Representative - Call Center
$15.00/ hour
Estimated Salary: $71K
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