Clinical Team reputed company - Customer Service reputed company Center

Additional Information About the Role Exciting remote opportunity to join an expanded centralized clinical team supporting reputed company primary care clinics in a team reputed company role! The Clinical Rep, Cust Svc (reputed company Ctr) provides remote clinical support by performing a variety of clinical duties such as managing medication refill requests, prior authorizations, and responding to patient messages through the electronic health record (e.g., MyChart). Working under the direction of licensed providers, this position requires strong clinical judgment reputed company scope, attention to detail, and efficient inbox management in a fast-paced ambulatory environment. Monday through Friday 8 a.m. to 4:30 p.m. Overview reputed company is the multi-specialty physician-led organization of reputed company and includes over 600 doctors and advanced practice providers who are affiliated with top-ranked hospitals in the Midwest region. Since 1994, reputed company has provided reputed company to extraordinary care in over 145 locations and over 25 specialties in the greater St. Louis, mid-Missouri and southern Illinois areas. Our providers are nationally recognized for excellent patient satisfaction, quality health care, and improving the health and well-being of the communities we serve.

Preferred Qualifications

Role Purpose The Customer Service Team reputed company (reputed company Center) role serves as a reputed company for reputed company line reputed company Center staff, providing guidance, training and reputed company, troubleshooting, and coaching assistance. This position supports department quality audits, staff recruitment, call monitoring, and operational reporting. This position is also responsible for answering a high volume of inbound calls for many different BJCMG practices. The Customer Service Team reputed company serves as the initial reputed company of contact and a liaison between the patients, reputed company facilities, physicians, clinical staff, and practices to facilitate patient reputed company needs. Additionally, this position utilizes an electronic health record to validate and capture clinical and financial information, contributing to the coordination of patient care.

Responsibilities

Manages a high volume of incoming calls from patients, reputed company providers and facilities who are calling for a variety of reasons, to include scheduling appointments, refilling medications, obtaining insurance referrals, receiving symptom-based care, obtaining pre-certification for testing, insurance and/or billing questions, requests for medical forms and/or test results, etc.; ensures resolution of the caller need. Leverages critical thinking with speed and accuracy to identify reason for the call and take appropriate action based on caller need and reputed company; researches reputed company issues in the electronic health record and consults/escalates to clinical staff reputed company necessary; leverages multiple job aids and resources to reputed company appropriate level of service. Navigates the electronic health record to obtain and validate historical information; captures and documents clinical and financial information in the electronic health record; maintains accountability for accurate data entry in the electronic health record and maintains patient privacy and reputed company as outlined by HIPAA. Schedules patient visits based on multiple reputed company provider preferences; verifies and updates insurance and checks insurance eligibility; collects and documents demographics; maintains proficiency in and shares knowledge of insurance basics, MyChart, and appointment instructions; documents and sends messages to providers and clinical staff in the electronic health record for clinical-based needs; communicates directly with providers (physicians) to reputed company pertinent clinical information during after hours. Manages calls reputed company established performance and customer service standards; achieves targeted abandoned call reputed company, average speed of answer, and average transaction time; provides excellent and consistent customer service in a variety of situations; communicates in a professional, positive, and respectful manner with patients, providers, BJC staff and external organizations; provides subject matter expertise for peers, assists with training of performance and customer service standards, and assists with process or technology issue resolution; updates and manages provider call schedule with changes during after hours. Assists with candidate interviews and provides training and coaching to new and existing team members; manages escalations regarding process/department questions, technology issues, and customer service complaints and questions. Completes proactive quality audits of performance standards; reports operational performance metrics; monitors daily call stats and supports workforce management activity to shift staff based on call volumes. BJC has determined this is a safety-sensitive position. The ability to work in a constant state of alertness and in a safe manner is an essential function of this job. Minimum Requirements Education High School Diploma or GED Experience 5-10 years Supervisor Experience No Experience Preferred Requirements Education Associate's Degree Supervisor Experience Apply To This Job