Customer Service Representative

Northwell; Melville (NY); On-site; USD 45,000 - 65,000; Full time

Job summary

Northwell Health is seeking a patient services representative to manage calls in the enterprise-wide centralized call center in Melville, NY. The role includes scheduling, messaging physicians, and guiding patients through navigation to support health system goals.

Responsibilities include handling inbound/outbound calls, verifying insurance, and ensuring patient satisfaction while maintaining confidentiality under HIPAA guidelines.

Qualifications

• High School Education or equivalent required.
• 1-3 years of customer service experience.

Responsibilities

• Interact with patients and caregivers by phone to provide best-in-class experience.
• Respond to scheduling requests and messages to physicians as needed.
• Follow escalation process for urgent clinical issues.
• Schedule patient appointments accurately in a complex care setting.
• Verify insurance eligibility and registration details.
• Provide first-call resolution and advocate for patients.

Skills

Customer service

Phone support

Education

High School or equivalent

Job description

Job Description

Manages patient calls to the Health System's enterprise-wide centralized call center. Assists with appointment scheduling, messaging physicians (test results, clinical advice, medication request, etc.), and patient navigation to support Health System goals. Fulfills patient needs, resolves issues, and ensures patient satisfaction.

Job Responsibility

1. Interacts with patients and caregivers via phone to provide best-in-class patient experience through the Health System's centralized call center. Performs a variety of technical service/support duties that may require practical or specialized knowledge.
2. Respond to inbound and outbound patient calls related to scheduling, messages to physician (test results, clinical advice, medication request, ect.), and other patient requests.
3. Follows standard escalation process for patients experiencing clinically urgent issues.
4. Escalates questions, problems, and significant challenges to more senior team members for direction or subject matter expertise on new or unprecedented assignments.
5. Accurately schedule patient appointments in a complex care setting using guided decision support technology.
6. Fully register and verify insurance eligibility.
7. Exercises independent judgment on basic or moderately complex issues regarding job and related tasks.
8. Assesses the callers need, responds with critical judgment, and ensures the appropriate resolution for the inquiry or issue.
9. Provides first call resolution and advocates for patients/care givers.
10. Proactively monitors areas of concern or uncertainty related to access issues and suggest possible resolutions to optimize best outcome.
11. Supports revenue cycle goals by minimizing potential financial risk through accurate patient insurance and demographic registration activities.
12. Maintains patient health information and protects confidentiality in accordance with HIPPA guidelines.
13. Promotes a positive and productive environment, supporting teamwork and communication.
14. Identifies specific patient needs and uses the appropriate call handling technique practices while supporting the patient on how to navigate the health system.
15. Uses documented procedures, policy manuals, knowledgebase, and other reference materials to assist in answering various general inquiries and issues.
16. Documents inquiries, issues, transactions, and other relevant information for health system tracking.
17. Communicates clearly and timely with patients and interfaces with practices.
18. Performs other related duties pertinent to delivering an easy and complete experience for the patient.

Job Qualification

• High School Education or equivalent, required.
• 1-3 years of customer service experience.

*Additional Salary Detail

The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).