The Customer Service Representative (CSR) is responsible for delivering a seamless, professional, and patient-centered virtual healthcare experience by facilitating all stages of a virtual visit—from pre-visit preparations to post-visit support. This role ensures accurate insurance verification, efficient payment processing, and effective scheduling through the client’s systems.
Key Responsibilities
Pre-Visit Support
- Access and update patient records in EPIC Book-It and RTE.
- Conduct comprehensive insurance verification via EPIC RTE, OneSource, and payer websites.
- Process co-pays and prepayments before the appointment via HelloWorld payment link.
- Send patient reminders and confirm virtual appointments using Care Connect and MyChart.
- Address patient questions regarding appointment access, billing, and insurance coverage.
In-Visit Support
- Conduct virtual check-ins using Amwell or MyChart platforms.
- Provide guided support for entering payment details in HelloWorld during the visit.
- Guide patients through real-time co-pay and prepayment transactions.
- Troubleshoot basic technical issues (audio/video) to avoid delays in virtual care delivery.
- Provide administrative support to providers during the visit.
Post-Visit Support
- Complete follow-up payment processing, if necessary.
- Update documentation in EPIC and Care Connect.
- Assist patients with return visit scheduling before ending the session.
- Perform reporting and reconciliation tasks using Power BI and other tools.
Qualifications
- At least 1-3 years of experience in healthcare customer service, preferably in a BPO setting.
- Familiarity with EPIC, Care Connect, and insurance verification tools.
- Strong communication, problem-solving, and multitasking skills.
- Proficiency in basic math and business calculations.
- Working knowledge of computer/data entry with the ability to learn new systems.
- Basic level of MS Office proficiency.
- Basic knowledge of, or ability to learn, customer service specialization.
Expected Competencies
- Friendly, professional, and effective communications skills; able to calmly present solutions in challenging situations.
- Effective interpersonal skills.
- Clear diction and knowledge of the English language, both written and verbal.
- Service-orientation and aptitude to resolve customer grievances.
- Self-directed accountability and reliability.Cultural competence.