Patient Support Center Representative – Remote

Location: Remote  - Remote
Category: Call Center
Employment Type: Contract
Job ID: 16095
Date Added: 01/26/2024

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Remote Patient Support Center Representative – Requirements

  • Prior experience taking calls in a high-volume call center.
  • Recent experience in assisting customers with questions pertaining to health care providers and prescriptions.
  • Ability to quickly address customer issues or escalate to the appropriate resolving teams.
  • Function as a team player to help as an effective member of the team.
  • Ability to multitask in a fast paced, high-stress environment.
  • Must be flexible for occasional shift changes or modifications.

Patient Support Center Representative – Company Benefits

  • Long-term opportunity with a great chance of being hired permanently.
  • Incredible company culture with great growth opportunities.
  • 100% Remote.
  • Paid training.

Patient Support Center Representative – Job Description

Our client, a national Healthcare Services Provider, is currently hiring several individuals to work in their customer support division. Patience Support Center Representatives function as a patient advocate to help resolve patient issues pertaining to claims, benefits referrals, physicians, and access. This position is 100% remote and also assists with patient education and ensures that required services are delivered to patients. Daily, Patient Support Center Representatives are expected to:

  • Answer approximately 60 to 80 inbound customer calls to address inquiries and concerns from members within set productivity guidelines.
  • Serve as the liaison between the patients and other department sites.
  • Assist new or potential members in the choice of preferred care providers and supply general information about the medical group.
  • Provide services to internal and external customers involving the exchange of complex and sensitive information while acting as patient advocate. (HIPPA Guidelines).
  • Page clinicians and assist Telehealth Nurses as necessary (e.g., arranging DME, transportation and HH).
  • Utilize internal systems to resolve customer needs such as appointments, authorizations, claims, invoices, eligibility, benefits, appeals, TARs.
  • Translate oral information into concise and accurate written documentation per guidelines.
  • Data enter PCP changes into the system and processes paperwork, as necessary.
  • Use, protect, and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
  • Recognize financial, medical, and legal risks based on data collected during customer interactions and follows appropriate procedures.