CENTERLIGHT

Call Center Representative

• Manage a high volume of inbound and outbound calls
• Provide exceptional customer service
• Schedule patient appointments accurately using the organization's EMR system
• Assist patients in rescheduling or canceling appointments
• Verify and update patient demographic and insurance information
• Document all patient interactions and maintain accurate call records
• Collaborate with clinical staff and other departments to ensure a seamless patient experience
• Follow HIPAA regulations to maintain patient confidentiality and data security

Manager

• The RN Care Manager – Complex Care & High Utilizer Management is responsible for the comprehensive management of participants who exhibit high utilization of outpatient services.
• Provide advanced clinical oversight, risk stratification, and proactive outreach to ensure participants receive timely, coordinated, and appropriate care.
• Collaborate closely with medical providers, behavioral health specialists, and operational leaders to develop and implement strategies that reduce avoidable utilization.
• Deliver ongoing care, support, and health education to participants with chronic illnesses.
• Oversee the referral process for high-risk and complex participants to ensure clinical appropriateness and timeliness.
• Monitor utilization patterns and proactively engage participants to reduce unnecessary service use.

RN Care Manager – Complex Care & High Utilizer Management

• Manage a high volume of inbound and outbound calls in a timely and professional manner.
• Provide exceptional customer service and assist patients with accurate information regarding services.
• Schedule patient appointments using the organization's electronic medical record (EMR) system.
• Educate patients on healthcare services, office policies, and available resources.
• Document all patient interactions and maintain accurate call records in the appropriate systems.
• Collaborate with clinical staff, administrative teams, and other departments to ensure a seamless patient experience.
• Follow HIPAA regulations to maintain patient confidentiality and data security.

Call Center Representative

RN Care Manager – Complex Care & High Utilizer Management

Call Center Specialist