- Make, receive, and process multiple incoming calls in a prompt, efficient and courteous manner and provide personalized patient and clinician customer experience.
- Call and receive calls from patients and clinician customers to discuss benefit verifications, prior authorizations, and other pre-authorizations (including, but not limited to insurance status, in-network and out-of-network benefits, and patient responsibility estimates) and coordinate care in a compliant manner.
- Help to connect patients to care by coordinating patient office visits, as requested by the patient, following protocol and guidelines.
- Collaborate with patients and clinician customers to assist in updating, rescheduling, or cancelling appointments as requested.
- Help Patient Access complete and re-process benefit verifications, prior authorizations, or other pre-authorizations by verifying or collecting patient demographic, contact, and insurance information.
- Outbound follow up calls to patients to communicate their benefits.
- Document all communication with patients, clinician customers, internal personnel in Salesforce.
- Ensures calls from clinician offices reach the correct department for call resolution if unable to assist (i.e., payors, providers, patients, and other stakeholders)
- Send clinics updates when benefits are being converted.
- Respond to broad questions and inquiries from patients and clinician customers.
- Use and disclose CND patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards and at all times observes, respects, and protects PHI.
- Promote positive relationships with patients, clinician customers, co-workers, and the public through a high level of personal attention and service as well as in accordance with CND policies.
- Consistently exhibit behavior and communication skills that demonstrate CND's commitment to superior customer service, including quality, care, and concern with each internal and external customer
- Adhere to all department and organization policies and procedures.
- Support the rest of Patient Access with other tasks as requested.
- Other duties as assigned
- 3 years of patient communication experience in a medical front office or a medical call center required; experience communicating with an older patient demographic preferred.
- Experience in a call center environment highly desired.
- Strong knowledge of healthcare insurance and benefits
- Strong ability to explain the nuances of health insurance, benefits and patient cost sharing to patients and clinician customers.
- High familiarity with health insurance benefit verifications, prior authorizations and other pre-authorizations and high comfort discussing these matters with patients and clinician customers.
- Strong knowledge and compliance with HIPAA and other healthcare regulations
- Ability to collaborate with patients and clinician customers, as well as internal clinical and non-clinical staff, in potentially stressful situations.
- Mindfulness to detail and documentation in Salesforce of all pertinent information in an accurate and timely manner
- Excellent verbal and written communication skills
- High fluency in Microsoft Office (including, but not limited to Outlook, Excel, Word, PowerPoint, SharePoint, and Teams), Google Docs, Salesforce and other software and IT platforms.
- Strong critical thinking skills.
- Strong ability to think on the fly and maintain a conversation while doing so.
- Strong ability to organize and interpret data.
- Strong judgment, tact, and diplomacy
- Ability to work effectively in a team environment
- High school diploma or GED certificate required.
- Associates degree preferred.
- Completion of a relevant medical program or licensing highly preferred
- Contact may involve dealing with people who are angry or upset.
- Must possess the ability to sit or stand for extended periods.
- Ability to use computers, copiers, fax machines and PDF scanners to create and maintain records.
- Position located in CND's Scottsdale, AZ or Atlanta, GA offices; with discretional flexibility to work remotely; Other locations considered on a case-by-case basis.
-
Communications Specialist
3 weeks ago
Synergis Atlanta, United States ContractTITLE: Communications Specialist · ASSIGNMENT: W2 Contract · LOCATION: Atlanta, GA · DURATION: 1 year · CLIENT: Fortune 200 client within the Utility/Power Sector · Our client is committed to building the future of energy for the customers who depend on them, the communities they ...
-
Community Specialist
5 hours ago
Lululemon Athletica Inc Whitehall, United StatesLocation: United States of AmericaState/Province/City: PennsylvaniaCity: WhitehallBusiness Unit: StoreTime Type: Full-timeBackApplyShare***Description & RequirementsWho We Arelululemon is an innovative performance apparel company for yoga, running, training, and other athletic pu ...
-
M&A Communications Specialist
2 weeks ago
Greene Resources Atlanta, United StatesPosition: M&A Communications Specialist · Location: Atlanta, GA (hybrid) · Pay: $65,000/yr · Experience: 1-3 years of communications experience; experience working cross-functionally (specifically across marketing and IT) · Education: Bachelor's degree in marketing, communication ...
-
Health Communications Specialist
2 weeks ago
iCallidus, Inc Atlanta, United States*This position is contingent upon award.* · We are seeking a dedicated Health Communication Specialist with strong community outreach skills to join our dynamic team at iCallidus. This role is pivotal in developing and implementing communication strategies that not only promote p ...
-
Communications Specialist II
4 weeks ago
GeorgiaGov Atlanta, United StatesJob Summary · The Georgia Department of Education (GaDOE)-School Nutrition Division are recruiting for an experienced Communications Specialist II. Under the general supervision of the Program Manager this position, plans, develops, and implements communications or outreach prog ...
-
Health Communications Specialist
2 weeks ago
Centers for Disease Control and Prevention Atlanta, United StatesSummary · As a global leader in public health & health promotion, CDC is the agency Americans trust with their lives. In addition to our everyday work, each CDC employee has a role in supporting public health emergency management, whether through temporary assignments to emergen ...
-
Corporate Communications Specialist
1 week ago
Oldcastle Infrastructure Atlanta, United States Full timeJob ID: 497327 · Exempt · Oldcastle InfrastructureTM, a CRH company, is the leading provider of utility infrastructure solutions for the water, energy, and communications markets throughout North America. We're more than just a manufacturer of precast concrete, polymer concrete, ...
-
Community Engagement Specialist
1 week ago
Inspiritus Atlanta, United States Full timeJob Details · Description · Community Engagement Specialist · Classification: Non-Exempt · Salary Grade/Level/Family/Range: $38,000 - $42,000 per year · Reports to: Community Engagement Manager · Date : 06/28/2022 · JOB DESCRIPTION · Summary · The Community Engagement Spe ...
-
Communications Specialist, Media
3 weeks ago
GeorgiaGov Atlanta, United StatesMake a difference and join the DCA TeamDCA gives employees more to do than merely make a living.We are serious about helping Georgia's families live more abundantly with a greater sense of hope and achievement.If public service, a great environment, and the desire to enrich the l ...
-
Communications Specialist, Senior
6 days ago
City of Atlanta Atlanta, United States Full timeAt the City of Atlanta, we are passionate about building and improving our community. Our police officers, firefighters and building inspectors keep our citizens safe. Our Public Works staff keeps our City clean and helps maintain, build and improve our City's infrastructure. Our ...
-
Integration Communications Specialist
2 weeks ago
Greene Resources Atlanta, GA, United States· Job Number: 47502 · Integration Communications Specialist · Job Description: · Our client is seeking an Integration Communications Specialist to join their team the Integration Communications Specialist is responsible for assisting in communication execution for new acquisit ...
-
Community Leasing Specialist
2 weeks ago
AHP Management Corp Atlanta, United StatesJob Description · Job DescriptionColumbia Residential is looking for a Community Leasing Specialist to become a part of our team As a member of the Columbia Residential family, you will become an integral contributor to fulfilling the mission and vision of the company. · See the ...
-
Marketing & Communications Specialist
3 weeks ago
Sixthman Atlanta, United StatesMarketing & Communications Specialist · MISSION · Support the marketing team by building and maintaining full communications timelines for assigned events covering website content, email, SMS, social media, and beyond. Execute assigned event campaigns via owned social media cha ...
-
Marketing and Communications Specialist
2 weeks ago
Tidewater Consulting Services Atlanta, United StatesTidewater is a consulting firm founded on tenacity, creativity, invention, and optimism. Our management team is dedicated to empowering our employees and promoting a diverse, performance-based work environment that provides everyone the chance to succeed. · Currently, we are see ...
-
Marketing Communications Specialist
2 weeks ago
Tidewater Consulting Services Atlanta, United StatesTidewater's Business Development Team is currently seeking a highly motivated Junior Marketing Manager to join our team. As a Junior Marketing Manager, your leadership skills will be essential in inspiring and motivating your team towards the achievement of specific goals. Additi ...
-
Marketing Communications Specialist II
1 week ago
Tech Providers Atlanta, United StatesPosition: Marketing Communications Specialist II · Location: Atlanta, GA 30354 [Hybrid - ( 2 days/week onsite this year) (next year will be 3 days per week in-office) · Duration: 12 Months Contract · 5% travel time required. · Position Objective: · The Marketing Communications ...
-
Marketing Communications Specialist II
3 weeks ago
American Advertising Federation Atlanta, United StatesPosition: Marketing Communications Specialist II · Location: Atlanta, GA 30354 [Hybrid - · ( 2 days/week onsite this year) (next year will be 3 days per week in-office) · Duration: 12 Months Contract · 5% travel time required. · Position Objective: · The Marketing Communicatio ...
-
Retail Community Mortgage Specialist
4 weeks ago
Truist Financial Corporation Atlanta, United StatesPrimary Location : Atlanta, GA US : **Retail Community Mortgage Specialist** · Job Description : **The position is described below. If you want to apply, click the Apply button at the top or bottom of this page. You'll be required to create an account or sign in to an existing o ...
-
Community Tobacco Treatment Specialist
15 hours ago
Spelman College Atlanta, United StatesThe Tobacco Treatment Specialist- Community (TTS C) provides tobacco education and delivers evidence-based smoking cessation interventions to community members who currently use or have a history of tobacco use. Specific duties of the TTS-C include:Oversee the development of the ...
-
Communications Hardware Specialist 3
5 days ago
Georgia Department of Public Health San Francisco, United States PermanentPay Grade: J · Click HERE for Video · Who we are. We protect lives. The Georgia Department of Public Health is the lead agency entrusted by the people of Georgia to proudly protect lives and promote healthy lifestyles in diverse communities s ...
Patient Communication Specialist II - Atlanta, United States - CND Life Sciences
Description
Job Description
Job DescriptionThe Patient Communication Specialist II (PCS II) will serve as one of the primary points of contact for patients and clinician customers at CND Life Sciences. The primary responsibilities of the PCS will be to manage outbound communication with patients and clinician customers regarding benefit verifications, prior authorizations and other pre-authorizations for CND's diagnostic tests; communicate benefits verification and benefits verification to prior authorization conversion; communicate any results to patients and/or clinicians; coordinate care by facilitating the scheduling process between patients and clinician customers in a compliant manner; answer level I RCM and science questions.
The PCSII will work closely with the Clinical Account Manager in their territory and regularly collaborate with the broader Revenue Cycle Management and Clinical Services departments. The PCSII will have excellent written and verbal communication skills, high attention to detail and be able to document all information in CND's customer relationship management system (Salesforce) in a timely and accurate manner.
Job Responsibilities:
Knowledge, Skills & Experience:
Education, Certifications & Licensures:
Other: