Job Description
Job Description
- Delivers quality Customer Service from initial request for service until completion of end product
- Adheres to client protocols and jurisdictional regulations including appropriate documentation of same
- Ensures all referrals have been entered and cases created accurately
- Schedules exams with physician offices and enters date and times through office operating system
- Understanding and knowledge of basic credentialing needs and ability to review and discuss with provider office effectively
- Communicates with clients, physicians and claimants/attorney regarding appointment scheduling, appointment changes, no shows and cancellations
- Must have an understanding of client specific forms, ability to enter and process appointment information in various customer systems as necessary
- Prepares and sends exam notification letters, cancellation letters, no show letters daily
- When required, responsible for initiating and follow up of prompt pre-payment to providers
- Coordinates ancillary services such as transportation/translation as requested, following customer protocol
- Performs appointment reminder calls and appointment follow up calls as necessary
- Contacts appropriate agencies or persons for the purpose of verifying information
- Handles incoming and outgoing calls effectively and efficiently meeting client standards/protocols
- Ability to efficiently and accurately manage high volume of emails in a timely manner
- Communicates immediately with Supervisor with regard to any client concerns
- Operates company software and equipment
- Enters data by inputting alphabetic and numeric information into system via keyboard
- Demonstrates strong organizational skills with the ability to multi-task without compromising extreme attention to detail
- Communicates using correct English, spelling, grammar, and punctuation
- Ability to understand and follow oral and written instructions while adhering to prescribed departmental routines
- Proficiency with imaging/scanning documents
- Maintains confidentiality and discretion as a general rule
- Works effectively as a team contributor on all assignments
- Interacts professionally with other employees as well as clients
- Has a clear and concise understanding, and adheres to, guidelines as they relate to HIPAA, Conflict of Interest, and Ethics
- Understands current URAC standards as appropriate to job functions