Call center rep

Description :

• Experience with Referral and Authorization is a plus not required
• The R&A Coordinator will be required to take both inbound and outbound calls
• This role will work from an Auto-Dialer (60 -70 calls per day)
• 4 hours of the day the R&A Coordinator will be taking high volume inbound calls
• This role focuses on Primary Care Physicians referring their patients to Specialist within the network
• To be successful in this role a new hire would be focusing on verifying benefits and scheduling patients with Specialist Doctors
• Responsible for being responsive to member needs, questions, concerns and managing their resource, transitions of care and other health care / quality needs by receiving inbound and placing outbound calls to members on a regular basis.
• The position is also responsible for assisting members with choosing a PCP and or Specialist when requested, help manage the referral process including the transfer of medical records and when requested, assist in scheduling appointments to appropriate Care Coordinators based on patient need.
• The position requires excellent listening skills, the ability to research member and provider questions, and to provide timely follow-up ensuring that all questions or concerns have been fully addressed.
• May rotate staggered schedules of extended hours of 7 : 00 am to 6 : 00 pm weekdays and provide on-site coverage at employer campus(s).

Skills :

Patient Access, Patient Registration, Customer service, Patient Scheduling, Patient Referral, Explanation of Benefits, EOB, EMR, Patient care, Triage, Insurance verification, Medical assisting, Medical terminology, Appointment scheduling, Prior authorization, Medical insurance, Health care, Outbound calls, Administrative skills, Coordination of benefits, Data entry, Medical billing, Administrative support

Additional Skills & Qualifications :

• Experience : Patient Registration, Scheduler, Prior Authorization
• 1 year healthcare experience, MA if preferred, call center experience
• Medical Office or Healthcare environment
• Medical terminology, Insurance verification, insurance benefit knowledge, referral processing and authorization experience required.
• High school diploma or equivalent (GED)
• Excellent listening skills required.
• Must possess the ability to work independently with strong organizational, communication and interpersonal skills to support the management of multiple priorities with significant attention to detail for project completion.
• Must maintain member confidentiality at all times.
• This role focuses on Complex Specialty Medical Services. Medical terminology knowledge is a must!

Experience Level :

Intermediate Levelthis role

About TEKsystems :

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity.

We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia.

As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change.

That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Last updated : 2024-05-11