Patient Support Center Representative - PST Shifts

Company: Careerbuilder-US
Location: Remote
Posted on: January 26, 2023

Job Description:

Remote Patient Support Center Representative - Requirements

Ability to work 8 am - 6 pm PST
Weekend availability (Alternating weekends will be required)
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.

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Keywords: Careerbuilder-US, Eugene , Patient Support Center Representative - PST Shifts, Other , Remote, Oregon