This is a remote position for Community Health Systems at the Shared Services Center- Sarasota. 

Answer incoming clinic calls within established company guidelines to provide prompt and courteous customer service to callers. Complete scheduling for clinic providers and ancillary staff for multiple clinic and multiple Medical Groups. Complete insurance entry and verification. Handle clinical calls and communications to clinic staff, escalating when needed. Manage outbound calls and incoming calls from company campaigns.

 (List in order of importance or percentage of time spent on the particular responsibility – High to Low)

1. Answer incoming calls for all assigned clinics and operate call center telephony platforms
2. Follows scheduling protocols and guidelines. Utilizes critical thinking to determine which processes to apply to specific situations.
3. Determine calls with urgent needs and complete warm transfer to clinic staff
4. Complete accurate patient scheduling on provider and ancillary schedules for multiple clinics and Medical Groups.
5. Researches patient requests in the medical record and provides information to patient or other entity.
6. Obtain information regarding refills, clinical questions, referrals, services, etc. Enter documentation and communication within EMR for non-urgent clinical calls
7. Monitor assigned boxes in EMR for return communication from the clinic
8. Accurately validate and enter patient name, DOB and demographics
9. Collects insurance and pre-certification information from callers, validates insurance eligibility and correct PCP assignment. Determines appropriate and current referrals are present, as indicated
10. Adheres and complies to all policies and procedures
11. Attend educational sessions and department meetings as scheduled
12. Ability to perform all other duties as assigned or requested

Qualifications

Required Education: High School Diploma or equivalent

Required Experience: 1 years business office experience in the assigned area (billing, collections, customer service, patient access, reimbursement, scheduling, call center, medical clinic, healthcare setting, patient placement) Additional education in business management, healthcare management or closely related field may substitute for the required experience on one-for-one year basis.

Preferred Experience: 2 years business office experience in the assigned area (billing, collections, customer service, patient access, reimbursement, scheduling, call center, medical clinic, healthcare setting, patient placement) Additional education in business management, healthcare management or closely related field may substitute for the required experience on one-for-one year basis.

Computer Skills Required: Knowledge of Windows based system, word processing software, spreadsheet software, telephony platforms, clinical and non-clinical EMR, and ability to utilize multiple applications at once