CALL CENTER REP

Essential Values-Based, Leadership and Management Competencies:

At Artesia General Hospital, our leadership and management practices are grounded in our core values, captured in the acronym S.E.R.V.I.C.E. These values are the foundation of all employee activities and guide us in fulfilling our Mission.

• Servant Leadership - Leading by serving others with compassion and humility.
• Excellence - Striving for the highest quality in all we do.
• Respect - Treating everyone with dignity and kindness.
• Virtuousness - Acting with honesty, integrity, and accountability.
• Innovation - Embracing new ideas to improve care and outcomes.
• Community - Fostering collaboration to meet the needs of those we serve.
• Education - Promoting learning and professional development.

ESSENTIAL FUNCTIONS:

• Greet patients, visitors and co-workers in a prompt, courteous, and helpful manner.
• Maintain appointment scheduler and follow office-scheduling policy.
• Register patients in a complete and accurate manner to conform to all regulatory requirements.
• Collect monies at time of service.
• Reviews provider medical records to gather information for approvals from the various insurance plans.
• Handle pre-certification and referrals.
• Handles all prior authorizations on test as well as medications.
• Follow up on prior authorizations; ensure that they are completed prior to scheduled date.
• Answers the phones
• Relays messages to and from the providers to the patients.
• Ensures the end of day reconciliation is complete each night before close.
• Preform basic clerical duties as required.

ADDITIONAL RESPONSIBILITIES:

• As assigned.

KNOWLEDGE/SKILL/ABILITIES:

• Knowledge of office equipment and ability to handle multi-time telephones.
• Basic math and computer skills.

AGE-RELATED COMPETENCIES: Demonstrates the basic knowledge and skills necessary to identify age-specific patient needs appropriate for this position.

Information Management: Treats all information and data within the scope of the position with appropriate confidentiality and security.

Risk Management/Quality Management/Safety: Cooperates fully in all Risk Management, Quality Management, and Safety Activities and Investigations.

MINIMUM POSITION QUALIFICATIONS:

• Education - High school diploma or equivalent.
• Work Experience - Customer service, computer. Experience in a healthcare setting preferred.
• Training - none.
• License/Certification - N/A

ENVIROMENTAL CONDITIONS: Work environment consists of daily patient contact, which may include exposure to blood, or other body fluids.