SHARED SERVCIES SCHEDULING SPECIALIST - PR

Job Purpose

Shared Services Scheduling Specialist assists with scheduling in-house and external physician/specialist medical appointments for participants, coordinates necessary transportation, handles customer service issues, makes all arrangements for Aide Services/escorts and assists with other functions as needed.

Job Responsibilities

• Schedule participants with their specialty appointments and medical appointments with their CBPCPs.
• Make visit verification calls to confirm appointments and reschedule any cancellations.
• Check the Centerlight provider lookup, Liberty Dental website and the NVA list to schedule appointments with in-network providers, escalating any issues to management, and appropriate department.
• Schedule SDR, post-fall, and HR/HI cases within 7 days of triggering.
• Ensure that participants' charts reflect the most accurate information, such as cancelling appointments and updating service plans when necessary.
• Ensure all authorizations and referrals are accurately faxed to the appropriate providers and facilities.
• Communicate effectively with all participants to relay appointment information, and provide updates as needed.
• Responsible for documenting all interactions and updates in a participants chart accurately and in a timely manner.
• Processes requests for the release of health information.
• Schedules provider follow-up appointments.
• Documents all calls in internal systems.
• Report any participant grievances reported by other DHC staff directly to the Grievances and Appeals department, as well as other disciplines involved.
• Schedule CBPCP appointments.
• Schedules all specialty consultations, including but not limited to psychiatry, podiatry, lab/home draws, and acupuncture.
• Informs Participants via phone regarding all future appointments.
• Identifies and partners with other departments to resolve complex participant inquiries.
• Completes documentation regarding appointments in the organization's computer systems.
• Responsible for the participant’s profile updates in all CenterLight systems.
• Performs consistently with the organization’s mission and philosophy.
• Performs job responsibilities according to the organization’s policies. Seeks clarification when needed.
• Assumes responsibility for assignments given, seeks supervision appropriately, and is accountable for work performance. Meets productivity guidelines.
• Maintains proper documentation (updated, timely, legible) related to patient care.
• Maintains HIPAA standards and confidentiality of PHI.
• Serves as a role model for peers and colleagues.
• Assumes responsibility for professional growth and development; maintains and upgrades professional knowledge and practice skills.
• Treats other CenterLight employees respectfully and facilitates an environment of teamwork.
• Communicate with participants in a caring, helpful, considerate, and culturally sensitive manner.
• Demonstrates a thorough understanding of participants’ needs and wants and attempts to anticipate and meet participants’ needs.
• Utilizes service recovery techniques to resolve issues quickly and to the customer’s satisfaction.
• Ability to manage multiple tasks and priorities in a fast- paced environment and adapt to changing priorities throughout the day.
  
  

Weekly Hours: 40

Days: Monday to Friday

Hours: We have different schedules available between 8:00 AM to 8:00 PM.

Location: Full time Remote

Qualifications

EDUCATION: Associate degree preferred, or equivalent relevant call center years of experience preferred.

Additional Requirements

• Able to pass a typing test with at least 40 WPM.
• Bilingual Requirement: Spanish, Russian, Chinese, Bengali, Korean
• 1 – 2 years experience in customer service, quality, and/or auditing experience.
• Responsible for documenting all interactions and updates in a participants chart accurately and in a timely manner.
• Excellent written and verbal communication skills.
• Ability to thrive in a fast-paced environment and meet assigned deadlines.
• Excellent organizational skills, accuracy, and attention to detail.
• Ability to operate both independently and collaboratively as required.
• Proficiency in Microsoft Office Suite, including Word, Excel, and Outlook.
  
  

Physical Requirements

Individuals must be able to sustain certain physical requirements essential to the job. This includes, but is not limited to:

• Sitting/Stationary positions – Duration of up to 6-8 hours a day for consecutive hours/periods of time.
• Agility/Fine Motor Skills - Must demonstrate agility and fine motor skills (ie. typing, use of equipment, etc.)
• Sight/Visual Requirements – Must be able to read orders and type/write documentation, etc. with accuracy.
• Audio Hearing and Motor Skills (language) Requirements – Must be able to listen attentively and document information from stakeholders and intake information through audio processing with accuracy. In addition, must be able to speak comfortably and clearly with language motor skills.
• Cognitive Ability – Must be able to demonstrate good decision-making, reasonableness, cognitive ability, rational processing, and analysis to satisfy essential functions of the job.
  
  

Disclaimer: Responsibilities and tasks outlined in this job description are not exhaustive and may change as determined by the needs of the company.

We are an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, height, weight, or genetic information. We are committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities.

Salary Range (Min-Max)

$35,000 - $40,000.00