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Clinic Scheduler II: Orange Coast Women's Call Center

Job Description - Clinic Scheduler II: Orange Coast Women's Call Center

Description
Primary Duties and Responsibilities

  • The Customer Service Specialist II serves our patients, members, and providers.

  • Responsible for answering phone calls and scheduling patient appointments.

  • Triages phone calls as necessary.

  • May conduct patient/member pre-certification to ensure coverage for appointments and medical care.

  • With the assistance of data and technology, they function as a liaison and ensures a high value and personalized experience.


For Hoag Clinic: Member Advocate II

  • Member Advocate Level II develops a specialized expertise in a specific domain (Health Plan benefits, Provider Disputes, Professional chat etiquette guidelines, etc.).

  • The Level II advocate has a high proficiency to address complex issues with claims and referrals.

  • The Level II advocate will also perform outreach calls to assist with wellness activities.


For Revenue Cycle: CPS Specialist II

  • The Level II effectively handles 40+ transactions per day for multiple departments with minimal or no error.

  • Understands and performs competently all functions of the FAX, Work-lists and HIE duties.

  • Schedules and handles calls, concerns and procedures of an increasing complexity, including different departments for radiology sleep, and new departments who become part of the CPS department.

  • The expectation of Level II meets all requirements for excellent customer service by maintaining a high service patient and physician satisfaction rating.

  • Schedulers in this level can mentor staff and work independently in multiple departments and modalities with minimal or no supervision.



Qualifications

Education and Experience

For Member Advocate II – Hoag Clinic

  • Associates degree or higher OR obtaining a bachelor’s degree in healthcare related field OR certified medical assistant OR Licensed Vocational Nurse OR other professional clinical certification
  • 3 years of customer service experience; 2 years of experience within a call center or healthcare setting with direct patient interaction
  • Bachelor’s degree or obtaining a bachelor’s degree in healthcare related field preferred
  • Previous work experience working as a care coordinator, member advocate, or health care unit coordinator preferred
  • Bilingual skills preferred

For Patient Scheduler II – Revenue Cycle

  • High School Diploma or equivalent
  • Complete 1 year of employment in Access Department or Front Desk scheduling or customer service experience
  • Complete 1 year experience in scheduling at Hoag Hospital
  • Accuracy 98%, for registrations and appointments; Productivity exceeds 60 registrations or appointments per day; Completes appointments in RMS and Affinity and meets monthly collection goals
  • Background in billing, collections, insurance verification, coding, patient access or appointment scheduling preferred

 

License Preferred

  • For Hoag Clinic: Member Advocate II
  • Licensed Vocational Nurse

 

Certifications Preferred

  • For Hoag Clinic: Member Advocate II
  • Certified Medical Assistant
  • For Revenue Cycle: CPS Specialist II
  • Medical Terminology certification


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