The Patient Representative Coordinator manages patient interactions, including greeting visitors, scheduling appointments, and handling inbound calls with a patient-centric approach. They also maintain accurate medical records, assist with insurance and billing inquiries, and ensure compliance with data security and privacy regulations.
Requirements overview
Candidates must have proven experience in a call center or customer service role, preferably within a healthcare setting. Proficiency in medical terminology, basic computer skills, and the ability to adhere to HIPAA regulations are required, with Epic EMR experience preferred.
Key skills
Customer servicePatient interactionAppointment schedulingMedical terminologyData entryHIPAA complianceEpic electronic medical recordsCommunication skillsInsurance verificationBilling inquiriesCall center operationsProblem solvingAttention to detailMultitaskingComputer proficiency
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Helping providers succeed in value-based care by developing strong relationships, delivering innovative solutions, and driving exceptional performance.
Innovista Health was founded to enable physicians to engage, support, and manage value-based savings and shared-risk models. Innovista combines deep industry experience, focused technology, and innovative programs to deliver a timely, turn-key solution for healthcare providers, health plans, and strategic partners.
HealthcareCustomer Service & SupportAdministrative
Description
Description
Position Overview:
We are actively seeking a skilled and compassionate Patient Representative Coordinator (TX) to join our dynamic healthcare team based in Texas. As a frontline representative, you will play a pivotal role in providing exceptional customer service to patients and facilitating efficient communication between healthcare professionals. If you have a passion for assisting individuals in a healthcare setting and possess strong communication skills, this role offers an opportunity to contribute to the well-being of our patients.
Responsibilities:
1. Patient Interaction:
Welcomes and greets patients, clients, and visitors to the department in a manner that is helpful and friendly. Determine purpose of visit and direct patients, clients, visitors to appropriate person to department(s)
Answer and manage inbound calls with professionalism, empathy, and a patient-centric approach.
Provide accurate and timely information regarding medical services, appointments, and general inquiries.
Demonstrate patience and understanding when addressing patient concerns or inquiries.
Assist with daily patient flow in areas as needed
2. Appointment Scheduling:
Efficiently schedule and confirm patient appointments using the designated scheduling system.
Collaborate with various departments to coordinate and optimize appointment availability.
Oversee and complete patient registration process as needed.
Confirm patient appointments and complete associated patient registration process.
3. Documentation and Record Keeping:
Maintain accurate and confidential patient records during and after each interaction.
Compile medical record charts, reports and correspondence.
Update patient information as needed and ensure compliance with data security and privacy regulations.
4. Insurance and Patient Payment Assistance:
Receive payments and post amounts paid to patient accounts.
Assist patients with insurance-related queries, including verification, pre-authorizations, and billing inquiries.
Collaborate with the billing department to address patient payment concerns.
5. Communication Coordination:
Route calls to the appropriate healthcare professionals or departments based on the nature of the inquiry.
Effectively communicate with nursing staff to relay patient observations and concerns.
Escalate patient status as necessary
6. Adherence to Protocols:
Adhere to established protocols and guidelines to ensure consistent and high-quality service.
Follow safety standards and regulations to ensure a secure and compliant call center environment.
Maintains safe, secure, and healthy work environment by following standards and procedures; complying with legal regulations
7. Team Collaboration
Participates in team daily huddle
Participates in meetings of staff and department meetings.
Shares acquired knowledge and learning.
Consistently reports for duty on time.
Keeps patient’s information private and limits conversation of a personal nature in patient’s presence.
Degree of teamwork and cooperation with personnel from other departments.
Requirements
This is an 100% in office role
Proven experience in a call center or customer service role, preferably within a medical or healthcare setting.
Strong communication skills with the ability to convey complex medical information clearly and concisely.
Familiarity with medical terminology and procedures.
Ability to handle a high volume of calls in a fast-paced environment with efficiency and accuracy.
Empathetic and patient-focused approach when dealing with inquiries and concerns.
Basic computer skills and proficiency in relevant software applications.
Ability to maintain confidentiality and adhere to HIPAA regulations.
Experience with Epic electronic medical records system preferred
Bilingual (fluency in speaking Spanish) preferred
Able to rotate weekends, holidays, shifts and center location according to company needs.
Other duties as assigned
Benefits
We are committed to creating a culture where everyone feels important, welcomed, and included. We demonstrate this commitment by offering a comprehensive benefits package that fosters opportunities for growth and advancement and supports the physical, mental, and financial wellbeing of our team members.
HEALTH & WELLBEING We
A choice health coverage, including HMO and PPO, plus Flexible Spending Account (FSA) and Health Savings Account (HSA) options
Dental and vision coverage
Company-paid benefits (short- and long-term disability, employee life, and accidental death and dismemberment)
Employee Assistance Program
Bereavement Leave (full-time employees)
Fees for the loss of an immediate family member)
Paid Military Leave Benefits
Discounts and perks on gym memberships, shopping, travel, recreation, and more
FINANCIAL GROWTH
Wellness Rewards with Monetary Incentives 401(k) with a company match
Credit Union Banking a
Flexible schedule and work from home options for numerous roles
A yearly discretionary bonus
Rewarding employee referral bonuses
WORK/LIFE BALANCE
Nine paid company holidays + Sick and Wellness Days + accrued PTO
Commuter benefits
Paid Parental Leave (up to 6 weeks, subject to applicable waiting period)
JOB SATISFACTION & ADVANCEMENT
Clear career advancement and growth pathways
Continuous education opportunities and financial reimbursement (mileage and certifications. This varies based on leadership and relevance to job)
Diversity, Equity & Inclusion Committee with various Business Resource Groups you can join
Company-wide socials and gatherings