Patient Access & Care Team Rep (Remote) - Full-Time

Carolinas Medical Center; United States; Remote; USD 30,000 - 45,000; Full time

Job summary

Advocate Aurora is seeking a remote Patient Access & Care Team representative for IL/WI Operations. You will handle patient calls, schedule appointments, verify insurance, and update records in the EMR, ensuring accurate data and smooth patient flow.

Training lasts three weeks with fixed hours; after training, weekday and weekend shifts are available. The role is remote with state approvals from listed locations and compensation from $21.85 to $32.80 per hour.

Qualifications

• Training is mandatory with two start dates and attendance required.
• Remote work from approved US states as listed.
• Experience in call center or healthcare customer service is preferred.

Responsibilities

• Handle inbound and outbound calls and provide customer service.
• Schedule, reschedule, and cancel patient appointments; verify demographics and insurance.
• Update medical records and assist with triage and referrals as needed.
• Escalate complex issues to nurses and maintain EMR documentation.

Skills

Customer service

Workflow adherence

Medical terminology

Desktop software

Education

High School Graduate

Job description

Department: 12700 Enterprise Corporate - Patient Access & Care Team: IL/WI Operations

Status:

Full time

Benefits Eligible:

Yes

Hou rs Per Week:

40

TRAINING & SCHEDULES:

Training Class Start Date: December 14 & December 28 Cohorts (attendance at all of training is mandatory).

Training Schedule: This position begins with three weeks of MANDATORY training (you must be available for the entirety of training). Training hours are from 8am to 5pm CST / 9am to 6pm EST for Weeks one and two; 8am to 4:30pm CST / 9am to 5:30pm EST for Week three. If you have any scheduling conflicts which would prevent you from being available for training, please wait for a future posting to apply to one of our upcoming training classes.

Permanent Schedule After Training : Weekday and weekend schedule options are available for PACT Representatives. Schedules will remain the same from week to week.

Approved Remote Worker States: Advocate Health may approve those who wish to work out of the following registered states: AL, AK, AR, AZ, DE, FL, GA, IA, ID, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY.

This is a remote position. Acts as the first point of contact for customers reaching out to Advocate Aurora through established Patient Access & Care Team (PACT) services for both internal and external partnerships. Supports base PACT initiatives and services accurately documenting each interaction using the electronic medical record. Able to provide wayfinding and/or resolve customer inquiries including but not limited to providing general information, paging providers, front ending symptomatic patients call for nurse triage, updating customer information/demographics, verifying medical records, entering medication refill requests, and scheduling patient appointments.

Pay Range:

$21.85 - $32.80

Major Responsibilities:

• Uses facility/provider information and established policies and procedures to seamlessly link the patient experience between PACT and the practice site.
• Uses resources and critical thinking skills to assist inbound callers. Makes outbound calls when required or when follow up is deemed necessary.
• Has the ability to recognize complex problems and questions and escalates for resolution when needed. Performs basic technical troubleshooting in connection to online applications, systems, or access as requested to resolve issues.
• Responsibilities include scheduling patient appointments and coordinating cancellations, reschedules, and additions to schedules. Obtains demographic and insurance information and verifies insurance coverage. Ensures insurance and patient information obtained is complete and accurate, updating information if necessary, applying acquired knowledge of government and third-party payer requirements.
• Completes all essential forms, obtains necessary information, such as patient demographic and insurance information. Verifies and updates the medical record with patient information.
• Identifies emergent calls based on information provided by caller and department procedures. Follows the process for immediate transfer to Registered Nurse for triaging. Responsible for competency in and adherence to guidelines for emergency situations and critical call handling.
• Determines the needs of patients calling the call center which results in routing patients for triage, scheduling, rescheduling, and canceling appointments, submitting medication refill requests for evaluation, and paging providers and facilities as appropriate.
• Provides customer service per established departmental standards as measured by patients on post call survey. Asks clarifying questions, presents options or solutions, and understands the level of complexity of the call, escalating only those situations necessary for resolution.
• Assists with organizational marketing efforts by providing associated information and referral to customer, while maintaining appropriate records for documentation. Conducts regular reporting and updating of the provider and marketing databases.
• Performs additional duties based on department needs.
• Maintains knowledge and efficient utilization of all information systems utilized by the department.

Licensure, Registration, and/or Certification Required:

None

Education Required:

High School Graduate

Experience Required:

Typically requires 0 -1 year experience in a call center, healthcare or other applicable customer service-related area

Knowledge, Skills & Abilities Required:

• Knowledge of customer service and ability to work with a variety of patients and patient situations. Ability to follow workflows while operating in a structured environment
• Basic knowledge of medical terminology is helpful but not required.
• Basic understanding of computers and desktop software packages.
• Ability to work in a fast-paced environment, handling a vari