Medical Call Center Representative/Lead
The Neuron Clinic is a busy outpatient neurology practice with locations in Chula Vista, Temecula, and San Marcos, CA. We are passionate about delivering high-quality patient care. We accept Medicare, Medi-Cal, Tricare, and most HMOs and commercial PPOs. We are seeking a healthcare professional that is passionate about quality care and making a difference in our patients lives.Why Join the Team?
Competitive Compensation
Generous Health Insurance Coverage: Medical & Dental
Retirement Plan - Dollar for Dollar match
Paid Vacation Accruals
Paid Holidays
Paid training
Work alongside extremely talented highly specialized doctors
Excellent Work-life Balance
Summary
The Call Center Team Lead is an experienced healthcare worker capable of addressing a variety of clinical, administrative, billing, and other questions. The Call Center Team Lead serves as the team leader of the call center, overseeing daily operations of a dynamic call center that assists patients, family, medical offices, and other callers with a variety of inquiries. In addition to answering calls, the Call Center Team Lead provides guidance to a team of virtual, bilingual Customer Service Assistants to include training, process oversight, and productivity monitoring.
Essential Duties and Responsibilities
Trains and provides process oversight of virtual and in-person Customer Service Assistants and Specialists.
Oversees Call Center productivity, participates in regular data collection and reporting to the Director of Business Development, and participates in regular quality assurance audits
Responsible for maintaining a robust knowledge of the medical group’s scheduling, administrative, billing, and clinical policies; able to effectively communicate these to both callers and virtual Customer Service Assistants
Responsible for maintaining a robust knowledge of medical insurance and authorization requirements; able to effectively communicate these to both callers and virtual Customer Service Assistants
Assists with handling incoming calls and making outgoing calls as directed by supervisor and/or in accordance with team Standard Operating Procedures (SOPs)
Preferred Education and Experience
Education and/or degree in healthcare preferred
Minimum 3 years of experience as a , Medical Call Center Representative, Medical Customer Service Representative, Patient Access Representative, Medical Insurance Representative, or related role with robust knowledge of local insurances, authorization requirements, HIPAA, and outpatient healthcare
At least 1 year of experience as a Team Lead or Supervisor preferred
Special Conditions of Employment
Furnish proof of COVID-19 vaccination
Knowledge Skills and Abilities
Knowledge of medical terminology and procedural coding; includes ability to interpret insurance information.
Knowledge of ICD-10 and CPT codes
Experience with insurance plans, third-party payer practices and guidelines, and pre-certification and referral management for insurance plans.
Experience working in a metric-driven work environment.
Excellent time management skills, highly organized, self-motivated.
Maintain a high level of productivity and confidentiality.
Strong knowledge of computer-based systems such as Excel, Word, and the Internet with the ability to quickly learn new systems.
The ability to follow through timely on tasks is essential.
Ability to train and educate staff in varied topics
Strong interpersonal skills to work effectively with people of diverse cultural, educational, economical, and social backgrounds.
Bilingual English/Spanish preferred
Schedule
8 hour shift
Monday - Friday