Clinical Screener

TeleMedik Group; United States; Hybrid; USD 21,000 - 30,000; Full time

Benefits offered by this job

24/7 telemedicine services

Employee health and wellness programs

Professional growth and development

Job summary

TeleMedik Group seeks a Clinical Screener to provide non-clinical guidance to enrollees by phone and to support clinical staff with administrative tasks. You will handle calls, document interactions, and assist with scheduling Telemedicine appointments while maintaining HIPAA compliance.

The role expands opportunities to serve US clients in a dynamic, international environment. A US-focused caller base, bilingual skills, and a customer-service background are valued assets.

Qualifications

• Minimum of 1 year of customer service experience.
• High school diploma; college credits preferred.
• Proficiency in computer applications and Microsoft Office.

Responsibilities

• Follow Nurse Advice Line scripts when handling topics.
• Identify customer needs, clarify information, research situations, and provide solutions.
• Manage incoming calls, validate reason for call, and route to Nurse Advice Line or Customer Service.
• Document enrollee interactions and transactions, including calls, complaints, and actions taken.
• Take messages when RNs are busy.
• Refer unresolved concerns to supervisor or departments for investigation.
• Schedule and coordinate Telemedicine appointments with medical staff.
• Support other Nurse Advice Line projects.

Skills

Customer service

Communication skills

Bilingual Spanish/English

MS Office

Computer literacy

Education

High school diploma

Job description

Job Description

Join Our Team!

The Clinical Screener provides general information and non-clinical guidance to enrollees, including, but not limited to, Medicare, Medicaid, Commercial, and Government Health Plan enrollees, over the telephone. This role supports clinical staff through the management and follow-up of non-clinical matters and general administrative tasks.

Additionally, there are opportunities to provide services to clients in the United States, allowing you to expand your professional experience in a dynamic and international environment.

Key Responsibilities

• Follow the Nurse Advice Line scripts when handling different topics.

• Identify customer needs, clarify information, research each situation, and provide appropriate solutions.

• Manage incoming calls, validate the reason for the call, and route customers to the Nurse Advice Line or Customer Service, as appropriate.

• Document enrollee interactions and transactions, including details of calls, complaints, and comments, as well as actions taken.

• Take messages from incoming calls when all Registered Nurses are busy at the time of the call.

• Refer unresolved customer concerns or grievances to the supervisor or designated departments for further investigation.

• Schedule and coordinate Telemedicine appointments with medical staff.

• Provide support for other Nurse Advice Line projects.

• Ensure confidentiality and compliance with all state and federal regulations applicable to healthcare call centers, including HIPAA, as well as internal policies regarding the proper disposal of confidential information.

• Immediately notify the supervisor of any exposure or disclosure of Protected Health Information (PHI).

• Comply with core and functional training requirements, as well as all procedures established by regulatory agencies, contractual requirements, and applicable certification standards, including, but not limited to, URAC.

Requirements

• Minimum of 1 year of Customer Service experience.

• High school diploma (college credits preferred).

• Knowledge of computer applications and Microsoft Office.

• Excellent verbal, written, and reading communication skills.

• Bilingual in Spanish and English preferred, especially for opportunities providing services to clients in the United States.

• Strong customer service orientation, empathy, and a proactive attitude.

• Availability to work rotating 24/7 shifts (Monday through Sunday, including weekends and holidays).

Benefits

• Specialized training in customer service, healthcare regulations, and health-related topics.

• 24/7 telemedicine services.

• Free employee health and wellness programs.

• Professional growth and development opportunities.

• Paid leave.

• Retirement plan.

• The opportunity to positively impact the well-being of the population.

Location: Hybrid in Guaynabo or Mayagüez, PR | Remote work may be available, as applicable.
Employment Type: Full-time | Temporary

We are an Equal Employment Opportunity (EEOC) employer.