Job Summary:
This position provides high-level member assistance by scheduling appointments, transferring calls, composing messages, and providing general information.
Essential Responsibilities:
- Upholds Kaiser Permanente's Policies and Procedures, Principles of Responsibilities, and applicable laws.
- Operates in a high-volume, structured call center environment by responding to incoming calls.
- Determines the type of appointment requested, reviews scheduling options, and makes appointments following guidelines.
- Prioritizes member needs and offers alternatives when appropriate.
- Uses excellent customer service skills to handle difficult interactions diplomatically.
- Determines call urgency and transfers to a Registered Nurse when necessary.
- Composes messages for medical staff based on member requests.
- Responds courteously to questions, using online databases for information.
- Seeks ways to improve service quality and implements changes.
- Performs clerical duties like assigning primary care physicians, processing referrals, and scheduling appointments.
- Answers incoming calls and manages appointment scheduling, rescheduling, and verification.
- Handles member inquiries and updates member records.
- Assists in resolving issues with medical record numbers and change requests.
- Performs online inquiries, data retrieval, and maintains activity logs.
- Performs routine maintenance of office equipment.
- Recommends procedural improvements and trains new personnel.
- Serves as a resource to co-workers and assists in problem-solving.
- Performs additional duties as directed, including contacting physicians and other staff to assist members.
Basic Qualifications:
- At least 1 year of customer service experience, preferably in healthcare (waived for current KP Coalition employees).
- High school diploma or equivalent.
Additional Requirements:
- Effective communication skills, both verbal and written in English.
- Must pass the Customer Care Simulation assessment (current within 1 year).
- Complete Service Orientation Assessment.
- For non-KP employees, take the Proofreading Assessment.
- Bilingual (English/Spanish) Level I required.
Notes:
- Must pass or have passed the bilingual test within the last 12 months or be active in the QBS program.