Call Center Representative

• Effectively support the Subrogation Recovery Operations team
• Provides exceptional service to member, providers, group administrators and attorneys
• Identifies, reviews, sets up or closes health insurance subrogation claims via phone, fax, email or mail
• For open cases, collects, records and verifies member information, pertinent accident details, attorney information and third-party liability information
• Records detailed and accurate file notes obtained from calls or written correspondence
• Manage high-volume intake calls and correspondence inventory effectively
• Determine membership eligibility using various job aids and membership systems
• Responds to calls, letters, faxes and emails from policyholders, agents, vendors and/or providers
• Show initiative and resourcefulness in solving problems and meeting customer needs
• Develop relationships with other business units and service partners
• Adheres to company and department policies and procedures as well as HIPAA regulations
• Performs other duties as requested or assigned

Recovery Specialist Associate – Call Center

• Oversee PSTN connectivity and carrier relationships; proactively troubleshoot and resolve routing complexities.
• Support comprehensive number porting activities, including Letter of Authorization (LOA) submission, validation, and direct carrier coordination.
• Maintain and audit the enterprise phone number inventory and Direct Inward Dialing (DID) assignment processes.
• Core administration and operational support for the Webex Contact Center (WxCC) platform.
• Build, maintain, and optimize intricate call flows and Interactive Voice Response (IVR) logic utilizing Flow Designer.
• Design, deploy, and manage Webex Contact Center pillars: Entry Points, Queues, Routing Strategies.
• Rapidly isolate and resolve issues tied to call routing anomalies, queue behaviors, and overall contact center performance degradation.
• Partner closely with internal business units to enhance customer experience (CX) and drive call-handling efficiencies.

Cloud Contact Center Engineer – Webex

• Answer telephone and handle all calls appropriately
• Schedule appointments for new and existing patients
• Enter patient demographics, insurance, and referral information into EMR
• Cancel and reschedule appointments as assigned
• Maintain and follow HIPAA policies and procedures
• Other relevant duties as assigned by the Manager/Director

Call Center Coordinator

• Manage the registration, scheduling, and rescheduling processes for new and existing patients.
• Ensure accurate record management by obtaining and communicating relevant patient information, such as identification, patient history, insurance details, missed appointment policy, therapist arrival instructions, and intake forms.
• Receive, screen, and coordinate telephone calls from healthcare providers.
• Proactively make outbound calls and send emails to patient leads.

Patient Onboarding Associate – Call Center

• Answers incoming telephone calls, schedules appointments and directs incoming call questions appropriately through a warm transfer or EPIC electronic medical record (EMR) messaging functionality to the appropriate staff. Performs phone system/answering service functions. Responds to patient, prospective patient, legal guardian and POA in a courteous, friendly manner.
• Manages daily patient and physician scheduling. Schedules for all patient visits to optimize patient satisfaction, provider template utilization and treatment room utilization. Obtains, records, and updates personal and financial patient information per Medicare, State and Federal guidelines. Must stay abreast of current insurance rules and policies.
• Manages various work queues in EPIC EMR as needed. Verifies referrals and performs pre-certifications as appropriate. Types, mails and faxes correspondence as needed, including patient letters, new patient paperwork, etc.
• Prepares patient material/handouts as needed. Order office supplies and maintains a clean area.
• All other duties as assigned.

Call Center Specialist

• Handle inbound calls in a manner that fall within the service level agreement (SLA)
• Display the ability to understand the reason/needs for the patient or clinician's call
• Ability to utilize and maneuver several different software systems to resolve customer inquiries
• Accurately document caller information and navigate scripts using active listening skills
• Meet specified goals and objectives assigned by management on a regular basis
• Provide exceptional customer service to all clients
• Maintain confidentiality of account information at all times
• Escalate any problems that may arise
• Adhere to prescribed policies and procedures as outlined in the Employee Handbook and Employee Code of Conduct
• Maintain awareness of and actively participate in the Corporate Compliance Program

Call Center Representative, Medical Answering Service

• You will be answering calls regarding healthcare benefits.
• Assist members with Medicare enrollments, billing, claims, benefits & other services.
• Manage a steady volume of incoming calls regarding Benefits, Enrollment, Eligibility, Invoicing, Claims, and related topics.
• Fully explain the Medicare Part D, Part C Medicare Advantage Programs and Dual Special Need Program (DSNP).
• Actively listen to understand customers’ needs and provide answers to include callbacks and follow up calls as needed.

Healthcare Call Center Representative

• Responsible for engaging with prospective clients with the goal of setting appointments for the sales team
• Be a subject matter expert and be able to communicate the value of company products and services to help educate prospective clients
• Handle a high volume of inbound/outbound calls and meet performance goals of converting calls to appointments
• Follow the designated sales process for appointment setting including confirming full and accurate client information
• Ensure all activity and information is accurately logged in CRM
• Provide a high level of customer service to ensure each prospective client and potential customer has a positive experience with Bath & Cabinet Experts

Call Center Representative – Outbound Appointment Setter

• addressing incoming telephone, digital, or written inquiries
• performing varied activities and moderately complex administrative / operational / customer support assignments
• providing resolution or pathway to resolution on each call
• addressing member needs including complex benefits questions
• resolving issues and educating members
• handling 40+ inbound calls daily
• accurately recording details of inquiries, comments or complaints, transactions or interactions
• escalating unresolved and pending member grievances
• working under minimal direction within defined parameters
• following standard policies / practices

Medicare Call Center Representative

• Handle inbound and outbound calls
• Use consultative sales techniques to close deals
• Recommend training programs based on customer needs
• Meet or exceed sales goals and KPIs

Inside Sales Representative – Call Center, Pet Training Services

• Monitor Physician EHR inboxes and patient portal requests and perform tasks within LPN scope of practice, and respond to patient inquiries according to established protocols.
• Refill prescription requests by established protocols, notify providers and ensure patient care tasks are completed for critical results, and coordinate follow-up care post-discharge or post-operative.
• Facilitate referrals and collaborate on addressing prior authorization requests that require clinical consultation, while also assisting with requests from other agencies such as hospitals, Public Health departments, nursing homes, funeral homes, and Departments of Labor or Motor.
• Manage Remote Patient Monitoring (RPM) results by tracking patients' real-time disease results and delivering education on managing chronic diseases such as diabetes, hypertension, and COPD.
• Medically screen and qualify patients for clinical trials.
• Perform follow-ups and patient education.
• Carry out additional responsibilities as needed to assist the healthcare team and enhance the delivery of patient education.

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