CALL CENTER REP

**Essential Values-Based, Leadership and Management Competencies:** At Artesia General Hospital, our leadership and management practices are grounded in our core values, captured in the acronym **S.E.R.V.I.C.E.** These values are the foundation of all employee activities and guide us in fulfilling our Mission. - **Servant Leadership** – Leading by serving others with compassion and humility. - **Excellence** – Striving for the highest quality in all we do. - **Respect** – Treating everyone with dignity and kindness. - **Virtuousness** – Acting with honesty, integrity, and accountability. - **Innovation** – Embracing new ideas to improve care and outcomes. - **Community** – Fostering collaboration to meet the needs of those we serve. - **Education** – Promoting learning and professional development. **ESSENTIAL FUNCTIONS:** - - Greet patients, visitors and co-workers in a prompt, courteous, and helpful manner. - Maintain appointment scheduler and follow office—scheduling policy. - Register patients in a complete and accurate manner to conform to all regulatory requirements. - Collect monies at time of service. - Reviews provider medical records to gather information for approvals from the various insurance plans. - Handle pre-certification and referrals. - Handles all prior authorizations on test as well as medications. - Follow up on prior authorizations; ensure that they are completed prior to scheduled date. - Answers the phones - Relays messages to and from the providers to the patients. - Ensures the end of day reconciliation is complete each night before close. - Preform basic clerical duties as required. **ADDITIONAL RESPONSIBILITIES**: - - As assigned. **KNOWLEDGE/SKILL/ABILITIES:** - - Knowledge of office equipment and ability to handle multi-time telephones. - Basic math and computer skills. **AGE-RELATED COMPETENCIES:** Demonstrates the basic knowledge and skills necessary to identify age-specific patient needs appropriate for this position. **Information Management:** Treats all information and data within the scope of the position with appropriate confidentiality and security. **Risk Management/Quality Management/Safety:** Cooperates fully in all Risk Management, Quality Management, and Safety Activities and Investigations. **MINIMUM POSITION QUALIFICATIONS:** - **Education –** High school diploma or equivalent. - **Work Experience** – Customer service, computer. Experience in a healthcare setting preferred. - **Training –** none. - **License/Certification –** N/A **ENVIROMENTAL CONDITIONS:** Work environment consists of daily patient contact, which may include exposure to blood, or other body fluids.