Healthcare Call Center Representative

Job Description

Networks Connect is looking for a Healthcare Call Center Representative that will work in office. Networks Connect is conducting a search on behalf of our client, a local prominent health system. Are you passionate about delivering exceptional customer service in a healthcare setting? We are seeking a highly skilled Healthcare Call Center Representative to join our client’s team. In this vital role, you will schedule, pre-certify, verify, and document procedures for ancillary services and minor surgical treatments while serving as a liaison between the call center, clinics, and external providers.

Key Responsibilities

• Accurately register and schedule patient appointments via phone, following established protocols.
• Ensure appointments align with departmental guidelines and validate patient information in the computer management system.
• Obtain and document patient information, ensuring accuracy and compliance with all standards.
• Perform patient insurance verification, including eligibility, managed care carve-outs, and pre-authorizations.
• Provide customer-focused assistance to other team members and departments, ensuring seamless operations.

Qualifications

Education:

• High School Diploma or GED (Required).
• Associate’s Degree (Preferred).

Experience:

• Minimum of 3 years in patient registration, scheduling, and medical insurance verification (Required).

Skills and Knowledge:

• Strong customer service and problem-solving skills.
• Proficiency in Microsoft Office and ability to type a minimum of 30 words per minute.
• Knowledge of medical terminology and CPT-4/ICD-10 coding.
• Completion of Patient Access training curriculum and competency assessments.

Core Competencies

• Registration & Scheduling: Schedule routine and complex procedures, collect accurate demographic and insurance data, and ensure timely updates to patient information.
• Insurance Verification & Authorization: Verify eligibility, obtain required authorizations, and communicate insurance requirements to patients.
• Performance & Quality Assurance: Monitor registration errors, mentor peers, and maintain high productivity and quality standards.
• Customer Service Excellence: Respond to patient inquiries promptly, resolve issues effectively, and exceed customer expectations.

Why Join Us?
This role offers an opportunity to make a meaningful impact in healthcare while advancing your career in patient access and call center operations. Join a collaborative team dedicated to providing seamless and compassionate care to patients and their families.

Job Type: Full-time

Pay: $19.00 – $22.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Parental leave
• Professional development assistance
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Work Location: In person

 

Earnings

$19.00-$22.00 hourly

Category

Revenue Cycle