Customer Service Representative (Florida)

Northwell; Jacksonville (FL); Sur place; USD 22 000 - 30 000; Plein temps

Résumé du poste

Northwell Health in Jacksonville, FL is seeking a patient services representative to manage calls in the enterprise-wide centralized call center. The role supports appointment scheduling, medical message routing, and patient navigation to ensure a high-quality patient experience.

Responsibilities include handling inbound/outbound calls, verifying insurance, scheduling, and escalating urgent issues as needed.

Qualifications

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

Responsabilités

• Interact with patients via phone to provide best-in-class experience through the centralized call center.
• Respond to scheduling requests, messages to physicians, and other patient inquiries.
• Follow escalation process for urgent clinical issues.
• Escalate questions to senior team members for guidance on new assignments.
• Accurately schedule patient appointments using decision support tools.
• Verify insurance eligibility and complete enrollment/demographics.
• Use independent judgment on basic to moderately complex issues.
• Assess caller needs and provide appropriate resolutions.
• Provide first call resolution and advocate for patients and caregivers.
• Monitor access issues and suggest resolutions to optimize outcomes.
• Support revenue cycle by accurate insurance and demographic registration.
• Maintain patient health information and protect confidentiality (HIPAA).
• Promote a positive environment and teamwork.
• Identify patient needs and guide navigation of the health system.
• Utilize procedures and knowledgebase to answer inquiries.
• Document inquiries and transactions for health system tracking.
• Communicate clearly with patients and practices.
• Perform related duties to ensure a complete patient experience.

Connaissances

Customer service

Formation

High School or equivalent

Description du poste

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.
• 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).