Healthcare Ops Specialist — Patient Care & Data

TurningPoint Healthcare Solutions; Florida; On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

Disability insurance

Life insurance

Gym discount

PTO

401(k) retirement plan

Job summary

TurningPoint Healthcare Solutions in Florida is seeking a Clinical Operations Representative to assist in daily activities servicing doctors' offices and patients. You will process requests via telephone, fax, and e-mail and support Utilization Review Nurses in creating medical cases.

The ideal candidate will have strong attention to detail, advanced grammar and punctuation, and the ability to maintain HIPAA confidentiality. Medical Assistant Certification is a plus.

Qualifications

• Minimum of 2 years’ experience in customer service, or healthcare operations; Required
• Associates Degree in a business or health related field is; Preferred
• Demonstrates dependability by following instructions, policies, and procedures; exceeds productivity standards, meets deadlines, and adheres to work schedules
• Strong problem solving and troubleshooting skills with precise attention to detail
• Phone queue experience and data entry skills, Preferred
• Intermediate to advance proficiency in Microsoft Word, Excel and Outlook
• Strong organizational skills and ability to multitask

Responsibilities

• Responds to customer questions via telephone and written correspondence regarding medical cases.
• Thoroughly documents inquiry outcomes for accurate tracking and analysis.
• Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.
• Responsible for meeting or exceeding quality and productivity expectations to ensure customer satisfaction.
• Review and maintain service requests and call center database for completeness of information
• Handles most complex calls with minimal assistance. Provides assistance in and/or refers high-level, complex questions, problems or client complaints to appropriate resources to ensure customer satisfaction
• Enters updates to pertinent insurance data from Document Management System or FAX into the computer system in a timely manner ensuring accuracy, completeness, and adherence to department procedures
• Perform outbound calls to members, providers, and clients
• Respects and maintains HIPAA confidentiality guidelines
• Other duties as directed

Skills

Problem solving

Attention to detail

Multitasking

Education

Associate degree in business or health

Tools

Microsoft Word

Excel

Outlook

Job description

TurningPoint Healthcare Solutions in Florida is seeking a Clinical Operations Representative to assist in daily activities servicing doctors' offices and patients. You will process requests via telephone, fax, and e-mail and support Utilization Review Nurses in creating medical cases.

The ideal candidate will have strong attention to detail, advanced grammar and punctuation, and the ability to maintain HIPAA confidentiality. Medical Assistant Certification is a plus.