Alpine Physician Partners
Patient Service Representative. -Prior Authorization
Alpine Physician Partners, Denver, Colorado, United States, 80285
We're committed to bringing passion and customer focus to the business.
Job Description:
We seek a highly organized and compassionate Provider Representative (Call Center Representative) to join our clinical call center team. As a Provider Representative, you will be pivotal in providing exceptional customer service and administrative support to patients, healthcare professionals, and external stakeholders. Your primary responsibility will be efficiently managing incoming calls and facilitating communication between patients and medical staff. The ideal candidate should possess excellent communication skills, attention to detail, and the ability to handle high call volumes with professionalism and empathy. The position must exemplify the core values and mission of the organization, always exercising utmost discretion, diplomacy, and tact in patient/staff interactions
Work schedule: Mon-Fri 8:30am to 5:00 pm with designated 30-minute lunch
Remote Position after 2-3 Weeks of training onsite at the Denver, CO office
Responsibilities:
Answering phones 24/7 Around the Clock 8A-8A: 7- Days a week
Contacting providers directly for critical matters
Working directly with providers in the field related to patient care.
All MISC Duties as assigned by supervisor:
Chronic Care Management(CCM) Miscellaneous Duties Assigned directly by supervisor that may consist of: Medication Prior Authorizations
Referrals as placed providers in the field
Scanning documents to charts from the Main Fax Inbox
Reviewing, Scanning and approving Home Health and Hospice Inbox/orders
Reviewing, Scanning Lab/Diag results and consulting providers
Prescription Refills
Scanning and reaching out to triage staff for Critical reports from critical fax inbox
Checking Voicemails for Non-Urgent Messages
Scanning and/or Completing MISC paperwork related to patient care (DME, Moving Paperwork, PPOC, LTC)
Medication Reconciliation Program (MAR's)
Medical Records Requests
New Admission Discharge Summaries (Corhio, EPIC, Kaiser)
PDMP Record Pulling
Qualifications:
Experience with Medical Health Records.
Proficient Medical Terminology
Medication Prior Authorizations- (Nice to have)
Medication Reconciliation (Nice to have)
Quiet working area and environment Excellent communication skills at level necessary for taking patients' medical histories, understanding provider and supervisor's instructions, and for accurately documenting patients' medical information. Ability to effectively communicate with patient population and staff while demonstrating a high degree of diplomacy and tact.
Intermediate computing and phone skills.
Demonstrates flexibility in regard to job duties and assignments.
Willingness to cross-train within other departments within your scope of duties.
Ability to multi-task and work effectively in a high-stress and fast-moving environment.
Must have a stable internet provider within home for equipment to operate correctly. (WIFI is not suffice)
Working knowledge of "Universal Precautions," always demonstrates professionalism.
Possess a thorough understanding of the importance of confidentiality and non-disclosure according to the general standards set forth by HIPAA.
Valid Colorado Driver's License, insurance, and ability to travel as required to perform duties.
Education:
High school Graduate (or GED) required.
Medical Certification or Health Technician
Salary Range:
Starting at $20 hourly
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
Job Description:
We seek a highly organized and compassionate Provider Representative (Call Center Representative) to join our clinical call center team. As a Provider Representative, you will be pivotal in providing exceptional customer service and administrative support to patients, healthcare professionals, and external stakeholders. Your primary responsibility will be efficiently managing incoming calls and facilitating communication between patients and medical staff. The ideal candidate should possess excellent communication skills, attention to detail, and the ability to handle high call volumes with professionalism and empathy. The position must exemplify the core values and mission of the organization, always exercising utmost discretion, diplomacy, and tact in patient/staff interactions
Work schedule: Mon-Fri 8:30am to 5:00 pm with designated 30-minute lunch
Remote Position after 2-3 Weeks of training onsite at the Denver, CO office
Responsibilities:
Answering phones 24/7 Around the Clock 8A-8A: 7- Days a week
Contacting providers directly for critical matters
Working directly with providers in the field related to patient care.
All MISC Duties as assigned by supervisor:
Chronic Care Management(CCM) Miscellaneous Duties Assigned directly by supervisor that may consist of: Medication Prior Authorizations
Referrals as placed providers in the field
Scanning documents to charts from the Main Fax Inbox
Reviewing, Scanning and approving Home Health and Hospice Inbox/orders
Reviewing, Scanning Lab/Diag results and consulting providers
Prescription Refills
Scanning and reaching out to triage staff for Critical reports from critical fax inbox
Checking Voicemails for Non-Urgent Messages
Scanning and/or Completing MISC paperwork related to patient care (DME, Moving Paperwork, PPOC, LTC)
Medication Reconciliation Program (MAR's)
Medical Records Requests
New Admission Discharge Summaries (Corhio, EPIC, Kaiser)
PDMP Record Pulling
Qualifications:
Experience with Medical Health Records.
Proficient Medical Terminology
Medication Prior Authorizations- (Nice to have)
Medication Reconciliation (Nice to have)
Quiet working area and environment Excellent communication skills at level necessary for taking patients' medical histories, understanding provider and supervisor's instructions, and for accurately documenting patients' medical information. Ability to effectively communicate with patient population and staff while demonstrating a high degree of diplomacy and tact.
Intermediate computing and phone skills.
Demonstrates flexibility in regard to job duties and assignments.
Willingness to cross-train within other departments within your scope of duties.
Ability to multi-task and work effectively in a high-stress and fast-moving environment.
Must have a stable internet provider within home for equipment to operate correctly. (WIFI is not suffice)
Working knowledge of "Universal Precautions," always demonstrates professionalism.
Possess a thorough understanding of the importance of confidentiality and non-disclosure according to the general standards set forth by HIPAA.
Valid Colorado Driver's License, insurance, and ability to travel as required to perform duties.
Education:
High school Graduate (or GED) required.
Medical Certification or Health Technician
Salary Range:
Starting at $20 hourly
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!