Representative I

Cumberland, RI 02864

Posted: 02/19/2019 Category: Customer Service Job Number: 25053
Description:
  • The Patient Support Specialist is responsible for providing concise patient and prescription information in accordance with HIPAA requirements via various sources.
  • This position maintains and supports the integrity of the Privacy Office to ensure HIPAA compliance when providing Protected Health Information.
  • Additionally, the person in this role provides support to Client' s Compliance and Persistency Programs.
  • Consult with patients in accordance with client guidelines and state rules with direction from RN.
  • Provide patients with support on medication reactions.
  • Inform patients of strep test results or other documented findings in their records as requested.
  • Assist patients with general information as required.
  • Call patients back in timely manner.
  • Initiate patient concern process, data entry, and appropriate follow up via electronic and phone.
  • Print and mail visit summaries to Primary Care Providers PCP' s) that were unable to be faxed.
  • Triage patient symptoms for acuity and recognize when clinically appropriate to refer callers to other facilities such as Specialist, Urgent Care, or Emergency Rooms.
  • Report critical clinical patient information to high level practitioners.
  • Ascertain what patients are within the scope of client practitioners and if not provide alternative suggestions.
  • Interpret and report value parameters of lab results to patients and practitioners.
  • Understand and follow all regulations and standards concerning protected healthcare information and HIPAA.
  • Provide quality assurance by reporting practices that are out of scope for client to District Managers of Operations.
  • Educate patients about their current diagnosis and proper follow up care.

Experience:
  • Inbound call center experience in a high-volume or fast-paced customer service setting.
  • Healthcare billing experience and experience explaining coverage to patients is a plus.
  • Knowledge of medical terminology and experience with electronic medical records and data entry also a plus.
  • Required Qualifications- 1+ years of customer service experience required.
  • 1+ years using Microsoft Word, Excel, and Outlook in a professional or academic setting
  • High School diploma or GED.
For more information on this position, please contact our office at 877-782-3334.

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