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Medical Call Center

0-2 years
Not Disclosed
10 Sept. 26, 2024
Job Description
Job Type: Full Time Education: B.Sc./ M.Sc./ M.Pharm/ B.Pharm/ Life Sciences Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

Main Responsibilities & Duties:

  1. Call Management: Efficiently handle a high volume of inbound and outbound calls, ensuring to always identify yourself and the clinic.

  2. Patient Assistance: Provide assistance to patients and other callers, either directly or by taking messages and directing calls to the appropriate personnel.

  3. Patient Registration: Complete initial registration information for new patients according to established policies and procedures.

  4. Data Updates: Update patient information in the computer database and scan any updated paperwork into the Electronic Health Record (EHR) under the correct tabs, including documenting phone notes as necessary.

  5. Communication Protocol: Follow established communication scripts for handling various topics.

  6. Needs Assessment: Identify and clarify the needs of patients and other customers, researching issues to provide effective solutions and alternatives.

  7. EHR Navigation: Navigate through patient charts in the EHR to locate relevant information efficiently.

  8. EHR Maintenance: Maintain and manage daily worklists in the EHR.

  9. Cost Information: Inform patients about their share of costs and co-pays for all types of payers.

  10. Insurance Verification: Verify coverage under insurance, Medicare/Medi-Cal, Managed Care, and other federal/state programs.

  11. Pharmacy and Clinical Verification: Confirm pharmacy information and other clinical details related to a patient’s visit.

  12. Payment Processing: Process patient payments over the phone securely.

  13. Documentation: Document notes in the system regarding collections, payment arrangements, missed appointments, and other relevant conversations.

  14. Call Reminder Monitoring: Monitor the automatic call reminder system to ensure cancellations are identified and reconciled with the schedule.

  15. Manual Reminders: Manually remind patients of appointments when the automatic reminder system is unable to do so.

  16. Additional Duties: Perform other tasks as assigned by the supervisor.