The Patient/Provider Services Representative handles the administrative activities for the call center. This position responds to a large amount of incoming calls, open and maintain member inquiry by detailing information and handling complaints. This position works with a wide range of internal and external partners, including physicians, senior management, managers, and office staff. Will work independently and take initiative.
Job Duties and Responsibilities:
- Serves as a liaison between providers, patients, health plans and other internal departments throughout the Cedars-Sinai providing superb customer service, daily and weekly updates of call center activities to ensure success of department.
- Provides operational support including training when appropriate.
- Responds to issues pertaining to claims, eligibility, utilization/referrals, quality and/or marketing.
- Handles complaints and provides appropriate solutions and alternative options.
Education:
High school diploma/GED preferred. AA or BS degree preferred.
Experience:
- Three (3) years of experience in a medical practice, billing service, health plan or customer service department. Call Center experience preferred.
- Should have outstanding customer service skills and proven knowledge of health insurance, managed care reimbursement and medical delivery system.
- Ability to rapidly adjust thought process to multiple customers.
- Knowledge of EPIC and PC skills preferred.
- Bilingual a plus.
Working Title: Patient / Provider Service Rep – Member Services (Remote)
Department: MNS Member Svcs
Business Entity: Cedars-Sinai Medical Center
Job Category: Administrative
Job Specialty: Admissions/Registration
Position Type: Full-time
Shift Length: 8 hour shift
Shift Type: Day
Base Pay:$20.06 – $30.09
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