What are the responsibilities and job description for the Access Operations Associate position at Covelo Group?
Job Description
We handle a high-volume of inbound calls, outbound calls, faxes and other communication with patients, providers, clinic staff, and others needing to access health care services at one or multiple facilities departments/clinics. The Access Operations Contact Center staff within the ECC is responsible for providing an excellent patient and customer experience by efficiently coordinating services and accurately answering or properly referring inquires
What you will do
• Obtains insurance authorization as necessary and communicate status to patients
• Coordinates outpatient appointments and conjunctive services
• Assists patients needing to schedule across multiple departments/specialties
• Assists community physicians requesting to consult with physicians
• Provides care coordination when appropriate to ensure patient needs are met and to ensure
clinic and medical protocols are followed
• Educates patients on providing medical records and other medical documentation needed for appointments
• Communicates with patients regarding insurance authorizations (including approvals and
denials) and request required clinical documentation when necessary
Education Qualifications
• High School Diploma or GED High school diploma or GED equivalent.
Experience Qualifications
• Two (2) years of progressively responsible and directly related work experience in a healthcare
setting, preferably in a call center environment
Required Knowledge, Skills and Abilities
• Type 40 words per minute
• Intermediate computer skills (Windows, Excel, and Word)
• Good communication, customer service, interpersonal skills and cross-cultural competency.
• Knowledge of medical terminology
• Demonstrated knowledge of proper English grammar in speaking and writing
• Effectively listen to resolve patient's/customers inquiries
• Maintain respect and composure in stressful situations
• Navigate complex software tools and accurately input data
• Effectively document caller notes into the medical record
• Ability to adjust communication to fit the needs and level of understanding of the receiver
• Ability to apply business logic to resolve patient/customer issues while managing multiple
priorities
• Ability to foster relationships, build trust with providers, nurses, staff, and patients and to work
in a collegial team environment
• Ability to plan, prioritize, and organize work independently with attention to detail
Licenses and Certifications
Job Description
We handle a high-volume of inbound calls, outbound calls, faxes and other communication with patients, providers, clinic staff, and others needing to access health care services at one or multiple facilities departments/clinics. The Access Operations Contact Center staff within the ECC is responsible for providing an excellent patient and customer experience by efficiently coordinating services and accurately answering or properly referring inquires
What you will do
• Obtains insurance authorization as necessary and communicate status to patients
• Coordinates outpatient appointments and conjunctive services
• Assists patients needing to schedule across multiple departments/specialties
• Assists community physicians requesting to consult with physicians
• Provides care coordination when appropriate to ensure patient needs are met and to ensure
clinic and medical protocols are followed
• Educates patients on providing medical records and other medical documentation needed for appointments
• Communicates with patients regarding insurance authorizations (including approvals and
denials) and request required clinical documentation when necessary
Education Qualifications
• High School Diploma or GED High school diploma or GED equivalent.
Experience Qualifications
• Two (2) years of progressively responsible and directly related work experience in a healthcare
setting, preferably in a call center environment
Required Knowledge, Skills and Abilities
• Type 40 words per minute
• Intermediate computer skills (Windows, Excel, and Word)
• Good communication, customer service, interpersonal skills and cross-cultural competency.
• Knowledge of medical terminology
• Demonstrated knowledge of proper English grammar in speaking and writing
• Effectively listen to resolve patient's/customers inquiries
• Maintain respect and composure in stressful situations
• Navigate complex software tools and accurately input data
• Effectively document caller notes into the medical record
• Ability to adjust communication to fit the needs and level of understanding of the receiver
• Ability to apply business logic to resolve patient/customer issues while managing multiple
priorities
• Ability to foster relationships, build trust with providers, nurses, staff, and patients and to work
in a collegial team environment
• Ability to plan, prioritize, and organize work independently with attention to detail
Licenses and Certifications
