Description
In this role, you will serve as the first line of contact for the patient. The Contact Center Specialist I acts as an advocate for patients by providing guidance and scheduling needs.
- Schedule, reschedule and cancel appointments for a multi-specialty physician practice with multiple locations in Allegheny and Butler counties.
- Review, verify and enter the patient's demographic and insurance information to ensure data integrity of the electronic patient record.
- Answer multi-line telephone system and schedule appointments, contact or page physicians according to department questionnaires, protocols and templates.
- Understand UPMC 72-hour appointment requirement and work to ensure guidelines are met while still placing the patient with the right sub-specialist whenever possible to avoid return visit to see the correct sub-specialist.
- Demonstrate the ability to understand the reason for a consumer referral call. Use decision making ability to appropriately refer a physician to meet the consumer's needs.
- Demonstrate the ability to understand the reason/needs for the patient or clinicians call and apply the decision-making ability to page or contact the appropriate physician to meet the patient's needs.
- Document all actions taken on a patient account.
- Adhere to UPMC language of access protocols to assure proper call handling and the delivery of outstanding customer service.
Qualifications
- High school graduate or equivalent.
- 2 years customer service experience or call center experience required. OR 1 year health insurance call center and claims adjustments experience required.
- Detail Oriented.
- Advanced knowledge of health insurance, third party payor billing requirements, medical terminology and reimbursement practices preferred.
- Must be able to maintain confidential information.
- Excellent organizational, interpersonal and communication skills.
- Competent in MS Office/PC skills.
- Must be able to make appropriate decisions based on the circumstances as well as established protocols.
- Must have strong interpersonal, organizational, and communication skills and be able to remain professional and courteous when dealing with sensitive issues and stressful circumstances.
UPMC is an Equal Opportunity Employer/Disability/Veteran
Total Rewards
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Our Values
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