Sparks-Recruiter Since 2001
the smart solution for Sparks jobs

Contact Center Specialist

Company: Renown Health
Location: Reno
Posted on: September 21, 2019

Job Description:

Position Purpose:

The Contact Center Specialist can perform a variety of functions, including answering/routing of inbound calls, scheduling appointments, obtaining pre-authorizations for exams and procedures, processing referrals, coordinating post-appointment care, customer satisfaction, technical support, etc. Specialists make an important contribution to customer satisfaction by providing a prompt, efficient and courteous service to all customers. The specialist makes no medical necessity decisions.

Nature and Scope:

Incumbent will work in a fast-paced environment that uses several modes of communication, including telephones, chat, instant messaging and email. Specialists must be proficient in a combination of these modes, depending on their responsibilities. Specialists will handle inbound and outbound calls.

Incumbent will provide a variety of services to customers. These include, but are not limited to:



  • Answering and routing of inbound calls.
  • Scheduling appointments for consultations, exams and procedures.
  • Obtain pre-authorization for exams and procedures.
  • Process provider referrals.
  • Coordinate post-consultation exams and appointments.
  • Provide technical support for patient-facing applications.
  • Manage and resolve customer complaints.
  • Digital imaging management
  • Maintains detailed records of information gathered and authorizations issued and extended: this is done by entry into the DST Health Connect system/EPIC template. Udate and manage selected databases and directories.
  • Assist in identifying and data gathering for potential COB cases
  • Production of authorization letter to providers, memebers and facilities from DST system
  • Participates in provider education regarding policies and procedures
  • Processing requests for specialty, therapy or complex appointments and exams
  • Coordinate resouces and schedules


    Performs other duties as required to meet departmental goals.

    A Specialist must have good interpersonal skills to understand customer' inquiries or complaints and deal effectively with people who may be worried, frustrated or angry. They must be able to learn quickly so they can acquire the service and product knowledge to answer customers' questions accurately. Their work must be concise and accurate. They must have good knowledge of telephone and computer systems so they can use call center systems efficiently. Specialists must be able to identify and escalate priority issues appropriately. The specialist makes no medical necessity decisions.

    Specialists must aim to deal with customer's inquiries and requests on the first call and be willing to be flexible and think outside the box to meet the customers' needs.

    The Renown Contact Center operates 24x7x365. Specialists must be willing to work at the times required by department supervisors and managers, and some positions include evening, night, weekend and holiday hours.

    Key competencies for this position include:



    • Verbal and written communication skills.
    • Listening skills.
    • Problem analysis and problem solving.
    • Customer service orientation.
    • Organizational skills.
    • Attention to detail.
    • Good judgment.
    • Adaptability
    • Team work.
    • Stress tolerance.
    • Resilience.


      Under no circumstances shall the Contact Center Specialist peform any activities related to the appeal management process other than:

      1. Performance of review o sevice request for completeness of information

      2. Collection and transfer of non-clinical data. Such data my include demographic information, employer name, insurance information, date of surgery, physician name, facility name, etc.

      3. Acquisition of structured clinical data in the form of medical record requests

      4. Activities that do not require evaluation or interpretation of clinical information.

      Minimum Qualifications: Requirements - Required and/or Preferred

      Education:

      High school graduate.

      Must have working-level knowledge of the English language, including reading, writing and speaking English.

      Experience:

      Good data entry and typing skills.

      Applicant must be able to work effectively with diverse groups of individuals as well as possess the ability to work well under pressure. Previous experience in customer service positions or a medical office will be valuable.

      License(s):

      N/A

      Certification(s):

      N/A

      Computer / Typing:

      Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel and Word and have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.

Keywords: Renown Health, Sparks , Contact Center Specialist, Other , Reno, Nevada

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Other Jobs


CDL A Driver - Earn $80,000/yr
Description: TEAM DRIVER BENEFITS Specialized freight including Arms amp Ammunition AA amp
Company: Tri State Motors
Location: Reno
Posted on: 10/18/2019

Warehouse Production Associates - Reno
Description: Peak pay up to 17.00 per hour with a 30 hour guarantee Start earning some extra income working for Adecco at Radial in Reno, Nevada Adecco is currently hiring Warehouse Production Associates for temp (more...)
Company: Adecco
Location: Reno
Posted on: 10/18/2019

Entry Level Warehouse Associate - Reno
Description: Peak pay up to 17.00 per hour with a 30 hour guarantee If you're looking for a Warehouse job, then look no further Adecco is looking for candidates who thrive in a fast-moving environment for Warehouse (more...)
Company: Adecco
Location: Reno
Posted on: 10/18/2019


Regional CDL A Team Truck Drivers - Competitive Pay
Description: ITS Logistics is looking for the best CDL A TEAM Truck Drivers to join our team today ITS Logistics is a rapidly growing 3PL that proudly offers unparalleled service backed by strong family values and (more...)
Company: ITS Logistics
Location: Reno
Posted on: 10/18/2019

Enterprise Account Executive Generalist - Spectrum Enterprise
Description: At a glance:Are you a client-focused and growth-motivated business-to-business B2B sales expert Can you commit to a consultative sales position guiding businesses through the selection of high-capacity (more...)
Company: Spectrum
Location: Reno
Posted on: 10/18/2019

Work-From-Home Independent Contractor
Description: Work-From-Home Independent ContractorLiveops is currently accepting applications in the following states: -AL, AR, AZ, DC, DE, FL, GA, IA, ID, IL, IN, KS, KY, MD, ME, MI, MN, MO, MS, MT,NC, ND, NE, NM, (more...)
Company: Liveops
Location: Reno
Posted on: 10/18/2019

GROUNDSKEEPER/PORTER FLOATING
Description: Work Location Metro Area: br br NV Reno/Sparks br br Full-Time/Part-Time: br br Full-time br br Regular/Temporary: br br Regular br br Proposed Pay Rate: br br 13.00 hourly (more...)
Company: FPI Management
Location: Reno
Posted on: 10/18/2019

Credentialed Bilingual Tax Advisor - CPA - Remote
Description: Job Description:Overview Join Our Virtual Tax Network At Intuit, our mission is to power prosperity around the world. Tax experts support that mission to our TurboTax customers by: providing valuable (more...)
Company: Intuit
Location: Reno
Posted on: 10/18/2019

CDL-A OTR Flatbed Truck Driver Job
Description: Roehl Transport is seeking experienced CDL-A OTR flatbed truck drivers to haul general commodities in our national flatbed fleet. You ll enjoy steady freight, top pay and flexible home
Company: Roehl Transportation
Location: Reno
Posted on: 10/18/2019

Insurance Sales - LIFE INSURANCE LICENSED REQ'D (Reno,NV)
Description: CURRENT LIFE INSURANCE LICENSE REQUIRED TO BE CONSIDERED Are you an individual with a strong desire to succeed in the business world and help families at the same time We have a wide range of mortgage (more...)
Company: The Alliance
Location: Reno
Posted on: 10/18/2019

Log In or Create An Account

Get the latest Nevada jobs by following @recnetNV on Twitter!

Sparks RSS job feeds