Polaris Careers Call Center Representative/ Customer Service Representative/Sagility Brigetowne

Call Center Representative/ Customer Service Representative/Sagility Brigetowne

Polaris Careers

₱15-20K[Monthly]

On-site - Quezon CityNo Exp RequiredBachelorFull-time

Description

A "CSR Healthcare" job description refers to a Customer Service Representative role specifically within the healthcare industry, where the primary responsibility is to answer patient inquiries, schedule appointments, verify insurance details, provide information about healthcare plans, and resolve customer concerns related to medical services, all while adhering to HIPAA regulations and maintaining a high level of patient care.
Key responsibilities of a Healthcare CSR may include:
Answering incoming calls:
Managing high volumes of phone calls from patients regarding appointments, billing questions, prescription refills, and general healthcare inquiries.
Patient registration:
Gathering accurate patient demographic information, including insurance details, and updating patient records in the electronic health record (EHR) system.
Appointment scheduling:
Scheduling patient appointments with the appropriate healthcare provider based on their needs and availability.
Benefit verification:
Checking patient insurance coverage and explaining their benefits, including copays, deductibles, and out-of-pocket costs.
Pre-authorization requests:
Processing pre-authorization requests for specific medical procedures or medications as required by insurance plans.
Billing inquiries:
Addressing patient questions regarding medical bills, explaining billing codes, and assisting with payment arrangements.
Patient education:
Providing information about healthcare services, treatment options, and preventive care measures.
Complaint resolution:
Handling patient complaints and concerns in a professional manner, escalating issues to relevant departments when necessary.
Data entry:
Accurately entering patient information and updates into the healthcare system.
Compliance with HIPAA:
Maintaining patient confidentiality by adhering to HIPAA regulations regarding protected health information.