患者成功专员-临时
Patient Success Specialist-Temp
职位概述:
患者成功专员将负责与保险公司进行所有特定患者的资格验证、索赔提交/调查、产品网格和当前患者状态的分析,并管理各种报告功能。候选人必须确保良好的组织能力,包括严格遵守指导方针和法规要求。当前职位是内部/外部部门协议和SOP修改的关键贡献者,以扩展更多的保险公司提交产品线。建立优先级,具备相应地多任务处理能力。与管理层沟通工作进展,并提供变更信息。
主要职责:
- 以客户服务为重点,满足患者的需求,协调物流并解决问题。
- 安排并协调部门内或部门间的流程,以提高项目效率并解决升级问题。
- 以紧迫感处理分配的查询。这些包括但不限于患者、销售团队、诊所和高管的查询和/或升级。
- 使用电子邮件、电话或salesforce.com及时关闭升级案件。
- 遵守预先制定的指导方针和具体指令及培训,以有效执行工作职能。
- 审查常见部门任务/职责的标准操作程序。
- 其他由管理层指派的职责。
- 确保来自组织不同部分的数据和分析请求得到及时处理。
- 负责对患者账单呼叫中心代理和现场团队的二级升级线路。
- 负责通过所有通信方式(短信、电子邮件、电话)进行患者外联,以解决升级问题。
- 参与运营计划、项目和举措,通过患者解决推动持续业务发展。
- 让关键内部领导和其他利益相关者了解升级状态。
- 该职位经常以纸质和电子形式处理PHI,并有权访问各种技术来访问PHI(纸质和电子),以完成工作。
- 员工必须尽快完成与HIPAA/PHI隐私、通用政策和程序合规性培训以及安全培训相关的培训,最迟不超过入职后的前30天。
- 必须保持一个
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Position Summary:
The Patient Success Specialist will work with all patient-specific eligibility verifications with payers, claim submissions/ investigations, product grid and
analysis of the current patient status and manage various reporting functions. The candidate must ensure strong organization, including strict adherence guidelines and regulatory requirements. The current role is a key contributor to modifications to internal/external department protocols and SOP for current processes to expand upon additional product lines of payer submissions. Establish priorities, ability to multi-task accordingly. Confer with Management to determine the progress of work and to provide information on changes.
Primary Responsibilities:
- Address the needs of patients with a focus on customer support, coordination of logistics, and problem solving.
- Schedule and coordinate the flow of work within or between departments to expedite project efficiencies and resolution to escalations.
- Address and resolve assigned inquiries with a sense of urgency. These include but are not limited to patients, sales team, clinic, and executive inquiries and/or escalations.
- Ensures timely closure of escalation cases using email, phone, or salesforce.com
- Adhere to pre-established guidelines and specific instructions and training, to effectively perform the functions of the job.
- Review standard operating procedures for common departmental tasks/duties.
- Other duties as assigned by Management.
- Ensure all data and analysis requests from different parts of the organization are addressed in a timely manner.
- Owning the second level line of escalation to our patient billing call center agents and field teams.
- Responsible for patient outreach effort to resolve escalated issues using all forms of communication (SMS, email, phone)
- Participates with operational programs, projects and initiatives that help drive the sustaining business forward through patient resolution.
- Keeps key internal leaders and other stakeholders apprised of the escalation status.
- This role works with PHI on a regular basis both in paper and electronic form and have access to various technologies to access PHI (paper and electronic) in order to perform the job.
- Employee must complete training relating to HIPAA/PHI privacy, General Policies and Procedure Compliance training and security training as soon as possible but not later than the first 30 days of hire.
- Must maintain a current status on Natera training requirements.
- Patient Success Specialists are assigned a designated phone line but are also cross trained to help support additional lines when call volumes fluctuate. Reassignments can vary from short term to permanent changes based on business need.
- Agents are also assigned a designated shift schedule, but must maintain schedule flexibility between 7 AM and 7 PM to accommodate possible shift changes due to call volume fluctuations and changing business needs.
Qualifications:
- Bachelor’s degree or equivalent experience
- Experience with medical billing and coding, preferably in a skilled nursing environment
- Excellent customer service skills and phone manner
- Ability to manage stress in a fast-paced environment
- Strong knowledge of Medicare and Medicaid practices
- Minimum 2 years of Call Center experience in an inbound and outbound capacity.
- Minimum 2 years salesforce.com experience
The pay range is listed and actual compensation packages are based on a wide array of factors unique to each candidate, including but not limited to skill set, years & depth of experience, certifications and specific office location. This may differ in other locations due to cost of labor considerations.
Remote USA
$20—$20 USD
OUR OPPORTUNITY
Natera™ is a global leader in cell-free DNA (cfDNA) testing, dedicated to oncology, women’s health, and organ health. Our aim is to make personalized genetic testing and diagnostics part of the standard of care to protect health and enable earlier and more targeted interventions that lead to longer, healthier lives.
The Natera team consists of highly dedicated statisticians, geneticists, doctors, laboratory scientists, business professionals, software engineers and many other professionals from world-class institutions, who care deeply for our work and each other. When you join Natera, you’ll work hard and grow quickly. Working alongside the elite of the industry, you’ll be stretched and challenged, and take pride in being part of a company that is changing the landscape of genetic disease management.
WHAT WE OFFER
Competitive Benefits - Employee benefits include comprehensive medical, dental, vision, life and disability plans for eligible employees and their dependents. Additionally, Natera employees and their immediate families receive free testing in addition to fertility care benefits. Other benefits include pregnancy and baby bonding leave, 401k benefits, commuter benefits and much more. We also offer a generous employee referral program!
For more information, visit www.natera.com.
Natera is proud to be an Equal Opportunity Employer. We are committed to ensuring a diverse and inclusive workplace environment, and welcome people of different backgrounds, experiences, abilities and perspectives. Inclusive collaboration benefits our employees, our community and our patients, and is critical to our mission of changing the management of disease worldwide.
All qualified applicants are encouraged to apply, and will be considered without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, age, veteran status, disability or any other legally protected status. We also consider qualified applicants regardless of criminal histories, consistent with applicable laws.
If you are based in California, we encourage you to read this important information for California residents.
Link: https://www.natera.com/notice-of-data-collection-california-residents/
Please be advised that Natera will reach out to candidates with a @natera.com email domain ONLY. Email communications from all other domain names are not from Natera or its employees and are fraudulent. Natera does not request interviews via text messages and does not ask for personal information until a candidate has engaged with the company and has spoken to a recruiter and the hiring team. Natera takes cyber crimes seriously, and will collaborate with law enforcement authorities to prosecute any related cyber crimes.
For more information:
- BBB announcement on job scams
- FBI Cyber Crime resource page