The Patient Engagement Representative handles day-to-day operations in a contact center, supporting patient acquisition and retention strategies via multi-channel communications (inbound, outbound, web chats, email, SMS).
Inbound support includes answering inquiries promptly, adherence to scripting, and eligibility determination for care coordination and service line navigation.
Provide physician referrals in accordance with Stark Law and document referral criteria.
Provide event details and secure registration; process payments electronically when applicable.
Handle payer contract negotiation calls and data breach calls per FAQ scripting and escalation paths.
Navigate multiple systems to resolve requests; maintain quality measures and document demographic data and consent.
Document and refer unresolved issues to appropriate department/client.
Handle, document, and escalate patient complaints with professional demeanor.
Transfer callers to Post Call Satisfaction Survey.
Maintain productivity by handling expected handle times and after-call work.
Outbound duties include reminder calls for appointments; provide prep instructions; email communications; outreach to targeted populations; not telemarketing; generate SMS content; contact provider offices to validate information; additional support as needed.
Requirements
High school diploma or GED
Excellent telephone customer service skills with typing ability and problem solving skills
Working Knowledge of Windows based computer environment
Two years of college
Telephone/call center experience
1-3 years of customer service and or healthcare experience