Customer Service Specialist- The Heart Group (Full Time/Day Shift) jobs in United States
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Penn Medicine, University of Pennsylvania Health System · 1 day ago

Customer Service Specialist- The Heart Group (Full Time/Day Shift)

Penn Medicine is a leading academic medical center dedicated to providing high-quality patient care, conducting innovative research, and educating future leaders in medicine. The Customer Service Specialist is responsible for patient scheduling, registration, insurance verification, and coordinating various medical services, ensuring effective communication and management of patient concerns.

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Responsibilities

Provides complete and accurate patient scheduling, registration, insurance verification, ordering of tests and coordination of applicable screening, diagnostic, physician office and outpatient hospital services
Performs complete and accurate patient registration including but not limited to: walk in, check-in, and or scheduled
Demonstrates ability to successfully adapt and perform during times of high volumes and or high patient acuity
Supports inbound and outbound calls to or from patients, guests, or appropriate parties to provide services
Effectively manages general patient complaints concerns in a professional manner, escalating more complex issues to supervisor manager as needed
Understands and supports Point of Service Collections
Performs all necessary functions needed to collect patient obligations
Refers patient to appropriate person for questions regarding; collections, insurance coverages, and financial assistance
Disseminates or discusses information with the patients regarding co-pays, out of pocket expenses, pre-appointment preparation, arrival times, etc
Verifies patient, guarantor, coverage and hospital account information
Performs required referral authorization processes and enters orders for applicable tests
Understands insurance company coverage and referral authorization requirements of payors
Performs electronic and manual verification of insurance coverage and understands how to read and accurately apply electronic insurance responses
Prepares and or releases records or orders in the e-Health record
Scans all necessary documents into appropriate medical record
Understands the importance of patient’s medical information that is documented on paper
Sends all pertinent information to document imaging or heath information management team with in the established time frames
Completes documentation for compliance and regulatory needs and or release of orders
Retains knowledge and abides by all regulatory requirements pertaining to duties of position and overall operations as applicable
Screens and accurately relays messages using protocols established for emergent, urgent and non-urgent calls
Demonstrates ability to register unscheduled patients requiring a full financial clearance
Completes assigned patient scheduling and registration work queues according to performance standards
Ability to resolve work queue issues and missing registration items via electronic medical record
For LGHP, this role may necessitate occasional regional travel
For Regional Positions:
Travels regularly to various sites within the region to support operational needs as listed above
Assists at new practices and sites by mentoring and leading other team members during the initial onboarding period
Special projects as assigned
Nasal swabbing and general specimen collection may be required in select departments
Other duties as assigned

Qualification

Patient registrationInsurance verificationElectronic Medical RecordPoint of Service CollectionsRevenue Cycle experienceClerical experienceCustomer service skillsCommunication skillsInterpersonal skillsProblem solving

Required

High School Diploma or equivalent GED
One (1) year of clerical, customer service, or administrative support experience in a highly customer-oriented organization
One (1) year experience with basic keyboarding, personal computer use, and other office setting equipment
For Regional Positions only - Valid driver's license is required
One (1) year of registration experience, point of service collection, insurance validation, understanding of compliance regulatory guidelines and order release processes
One (1) year prior experience of Revenue Cycle in a Hospital Medical Office Setting
Previous Epic or equivalent Electronic Medical Record experience
Ability to attend to a specific stimulus without being distracted by extraneous environmental stimuli
Ability to rely on verbal memory and new learning
Ability to process multiple bits of information simultaneously
Ability to organize and categorize information effectively for later recall
Ability to perform under stress when confronted with emergency, critical, unusual, or dangerous situations
Ability to perform a variety of duties, often changing from one task to another without loss of efficiency or composure
Ability to exchange information with others clearly and concisely
Ability to maintain relationships that facilitate task accomplishment

Benefits

Comprehensive compensation and benefits program
Prepaid tuition assistance programs

Company

Penn Medicine, University of Pennsylvania Health System

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Penn Medicine is a world leader in academic medicine, setting the standard for cutting-edge research, compassionate patient care, and the education of future health care professionals.

Funding

Current Stage
Late Stage
Total Funding
$70.9M
Key Investors
BIRD FoundationWarren Alpert FoundationNational Cancer Institute
2025-01-22Grant
2023-01-03Grant· $9.7M
2022-08-18Grant· $5.7M

Leadership Team

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Kevin Mahoney
Chief Executive Officer of University of Pennsylvania Health System
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John Donohue
Vice President, Enterprise Services
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Company data provided by crunchbase