Customer Service Representative

Description

Specialty Care

Customer Service Representative

Full-time: Monday-Friday-No weekends

Hours: Days- 8:00-4:30

The CSR facilitates the patient registration flow, including such activities as patient identification; gathering demographic information; securing accurate financial information; obtaining required signatures and documents; and entering registration data into hospital information computer system. The CSR is also responsible for managing phone calls. Schedules patient appointments and directs patients appropriately to the correct departments. 

May work in many areas throughout the outpatient offices (Healthcare Associates, Pediatrics, Walk-In Care, RMH Specialists, Medical Specialty Services), and Admissions/Call Center departments. This is a dynamic position that will allow the CSR to assist patients in many different ways and by utilizing many personal and professional skills.

Requirements

Knowledge & Experience

Skills-

• Ability to prioritize, good communication and interpersonal skills, maintain composure in all situations, possess professional demeanor, able to adjust to change, ability to problem solve and work independently and ability to work under stressful conditions, ability to remain focused and attention to detail.

Knowledge-

• Computer systems, typing, public relations, basic office clerical duties.

Education-

• High school diploma required.

Authority and Accountability

• Is accountable for facilitating the patient’s access into the hospital and affiliated offices in a pleasant and professional manner
• Promotes good public relations through contact with patients, visitors, vendors and fellow employees and other phone contacts.
• Must preserve the confidentiality of patient and hospital information.

Aptitudes

• Must be able to prioritize, utilize critical thinking, and adjust to change.
• Must be able to reason and use logical problem-solving skills.
• Performs duties that require some latitude for independent judgment and initiative in handling situations out of the ordinary.

PHYSICAL AND MENTAL EFFORT

• The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• Regular requirement to use hands to fell; reach with hands or arms; talk; and hear.
• Frequent requirement to bend at the waist, walk and stand, motor coordination and finger dexterity required to manipulate calculating and computer keyboards.
• Specific vision requirements include color vision.
• Regular requirement to lift and/or move 5-20 pounds; frequent requirement to lift and/or move 20-35 pounds; occasional requirement to lift >35 pounds.
• Exceptional speaking and listening skills are essential.
• Work involves a variety of changing activities; constant interruptions.
• Must be able to work under stress; 50% of working time.

ENVIRONMENTAL AND WORKING CONDITIONS

• The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
• Must assist in maintaining the noise level in this work environment to a minimum.
• Normal office working conditions.
• Full time employees work straight shifts while part time employees can work various shifts.
• Work is performed in a clean, well-lighted and ventilated building.
• Could be subject to infectious diseases, cuts, abrasions, burns and punctures.
• Work schedule may vary.

ACCOUNTABILITY

• Reports to the Director of HCA/Peds, Director of RMH Specialists, Director of WIC or Director of Registration depending on job assignment

QUALITY ASSURANCE-KEY RESPONSIBILITIES

• Updates patient insurance and demographic information appropriately.
• Answers telephone in a timely and professional manner, as well as use of phone, fax, copier, scanner, email and how to page overhead
• Appropriately scans documents, following established quality standards
• Effectively processes reporting to verify accuracy Of insurance information of registered patients
• Provides effective communication to RMH On-Call Employees (including physicians, nursing staff, Information Services staff and Maintenance staff)
• Orders office supplies as needed
• Respond promptly to changes in workload, adjusting assignment as necessary to achieve optimal patient care and efficiency
• Demonstrates team attitude; offers assistance to co-workers to provide optimal patient care; solicits Assistance from co-workers when necessary
• Demonstrates efforts to maintain patient confidentiality as appropriate and per policy
• Assists in orientation process for staff members and volunteers in the department
• Initiates and completes incident reports as necessary when extraordinary or unusual patient care or other situations occur
• Serves as a change agent, assisting all staff in understanding the importance, necessity, impact and process of change
• Follows guidelines of duties by Job Classification List.

PUBLIC RELATIONS

• Maintains effective channels of communication with other employees and patients.
• Takes appropriate action in problem situations to offset adverse effects.
• Projects a professional and positive attitude regarding the hospital.

OTHER RESPONSIBILITIES

• Attends 70% of scheduled staff meetings for primary work area during the year.
• Attends mandatory in-service and educational offerings
• Seeks opportunities for self-development and identifies areas of improvement
• Conducts self in professional manner acting as a role model while practicing and promoting effective guests relations
• Observes hospital dress guidelines and wears ID badge
• Provides proper notification for absence and tardiness and is punctual for start of scheduled work time
• Takes appropriate length of time for meal break
• Maintains equipment assigned to department and reports Malfunctions appropriately
• Complies with hospital policies and procedures
• Completes projects and assignments on a timely basis
• Participates in emergency procedures, fire drills, evacuation procedures and internal/external disaster plans, mock codes, Procedures in accordance with departmental responsibilities
• Obtains and distributes reports, messages, and supplies to appropriate persons.
• Collects and verifies patient insurance information.
• Collects and enters new patient demographics and updates existing patient information.
• Collects patient payments and/or co-payments and provides patient with receipt of transaction; documents transactions appropriately.
• Balances cash drawer daily, reconciles discrepancies as necessary.
• Verifies patient appointments with a 48-hour advance notice in an effort to confirm next day appointments, as assigned
• Prepares patient paperwork for next day's appointments.
• Order office supplies as needed.
• Documents patient information in appropriate areas.
• Responds promptly to changes in workload, adjusting assignment as necessary to achieve optimal efficiency.
• Demonstrates efforts to maintain patient confidentiality as appropriate and per policy.
• Assists in orientation process for staff member and volunteers in department.
• Initiates and completes incident reports as necessary when extraordinary or unusual patient care or other situations occur.
• Serves as a change agent, assisting all staff in understanding the importance, necessity, impact, and process of change.
• Follows guidelines of Duties by Job Classification List.
• Performs other duties as assigned.
• Overseas Medicaid authorization process for the office and prints Medicaid Eligibility sheets.
• Obtains authorizations for release of patient information and forwards to Medical Records accordingly.
• Schedules drug representative and other lunch appointments for providers as directed.

CONTINUOUS QUALITY IMPROVEMENT

• Participates in the Continuous Quality Improvement Program (CQI) to meet stated goals and objectives of The CQI Program by:
• Bringing potential problems to coordinator’s attention
• Assisting in data collection
• Suggesting solutions to problems
• Emphasizing, supporting and committing to CQI practices and processes
• Taking action to assure CQI within areas of responsibility