Appointment Clerk (Bilingual)

Kaiser Permanente; Downey (CA); On-site; USD 25,000 - 33,000; Full time

Job summary

Kaiser Permanente in Downey, CA is seeking an on-site Call Center Associate to provide high-level member assistance by scheduling appointments, transferring calls, composing messages, and sharing information with members.

This role emphasizes strong customer service, English proficiency, and bilingual (English/Spanish) abilities. You will operate in a fast-paced center, maintain accurate records, and refer complex cases to nurses as needed.

Qualifications

• One year of customer service experience in a service related industry (preferably healthcare).
• Current KP Coalition employees have this experience requirement waived.

Responsibilities

• Respond to incoming calls in a high-volume call center environment.
• Determine appointment type and schedule accordingly using appropriate guidelines.
• Provide courteous, professional member service and diffuse difficult interactions.
• Transfer urgent calls to a Registered Nurse as appropriate.
• Compose messages for physicians or medical staff based on member requests.
• Verify and update member demographics and refer members to eligibility as appropriate.
• Answer inquiries using online databases and resources.

Skills

Customer service

Education

High school diploma

Job description

Job Summary:

This position provides high level member assistance by scheduling various appointments requested, transferring calls appropriately, composing messages, and providing general information.

Essential Responsibilities:

• Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities and applicable state, federal and local laws.
• Operates in a high volume, highly structured call center environment by responding to incoming calls.
• Determines the type of appointment requested or needed, reviews scheduling mix of various physicians/providers, and them makes appointment utilizing appropriate guidelines.
• Prioritizes member needs and offers alternatives to members when appropriate.
• Utilizes superior customer service skills to provide service to members when diffusing difficult member encounters.
• Uses tact and diplomacy in handling difficult interactions with members.
• Determine if calls are urgent or emergent by listening to the member, following established guidelines, and then transferring the call to a Registered Nurse when appropriate.
• Composes messages for physician/providers, Registered Nurses or other medical staff based on member requests.
• Responds in a courteous and professional manner to general questions, using on-line databases to provide information to any member or other personnel calling the center.
• Identifies ways to improve quality of service to members and recommends steps used to accomplish these changes.
• Must perform all of the above duties while meeting established standard of performance for quality and productivity.
• Performs clerical duties which may include assigning new members a primary care physician, processing self-referral requests, calling patients and booking appointment for specialty appointments, calling members to cancel and reschedule appointments.
• Answer incoming calls.
• Determine type of appointment needed, determine appointment availability and schedule appointments.
• Prioritize members need and offer alternatives to member when appropriate.
• Determine if calls are urgent or emergent and refer to RNs as appropriate following established guidelines.
• Compose messages to providers or other medical staff based on member requests.
• Utilize databases to give information to members and other callers as requested.
• Refer members to eligibility department as appropriate.
• Notify members of appointment/scheduling changes by telephone as directed.
• Schedule, reschedule and/or verify appointments.
• Answer member inquiries.
• Contact appropriate department to obtain medical record numbers of new enrollees.
• Assist in resolving problems related to duplicate medical record numbers.
• Initiate change of physician requests.
• Initiate change forms for corrected medical record numbers.
• Verify and update member demographics.
• Perform on-line inquiry functions.
• Perform data retrieval of computerized data.
• Record and maintain activity logs.
• Clear paper jams and other routine maintenance of printers/copiers.
• Recommend procedure changes.
• Train and orient new or less experienced personnel.
• Serve as resource persons to co-workers and assist in problem solving.
• Perform other activities and duties as directed.
• Initiate telephone calls to physicians or other medical office staff when indicated to assist members.
• Assume other activities and responsibilities from time to time as directed.

Basic Qualifications:

Experience

• One (1) year of customer service experience in a service related industry, preferably healthcare.
• Per the National Agreement, current KP Coalition employees have this experience requirement waived.

Education

• High school diploma or equivalent.

License, Certification, Registration

• N/A

Additional Requirements:

• Effective telephone communication skills and excellent interpersonal skills.
• Must obtain passing score on Customer Care Simulation assessment.
• The Customer Care Simulation assessment score must be current within one (1) year (contact Local HR Office for testing).
• Must be able to effectively communicate, verbally and in writing, in English.
• Must complete Service Orientation Assessment.
• As part of applicant process, must take Proofreading Assessment for non KP employees only.
• Bilingual (English/Spanish) Level I required.

Preferred Qualifications:

• Preferred experience in ambulatory call center

Notes:

• Must successfully pass or have passed the bilingual test (within the last 12 months), or be active in the QBS program.
• This is an on call position, days and hours may vary.
• Must be available to work as needed on weekend.
• Must turn in availability one month in advance, min of 10 days/mo.