Job Description

Posted Date: 12/2/2019

Steward Health Care System LLC ("Steward") is a fully integrated, physician-led national health care services organization committed to providing the highest quality of care in the most cost-efficient manner in the communities where our patients live. Steward - the largest privately held health care company in the U.S. - owns and operates 35 community hospitals across nine states, serves over 1,000 distinct communities and employs approximately 40,000 health care professionals. In addition to our hospitals, the Steward provider network includes 4,800 providers, 25 urgent care centers, 87 preferred skilled nursing facilities, substantial behavioral health offerings, over 7,300 hospital beds under management, and approximately 1.5 million full risk covered lives through the company's managed care and health insurance services.

Steward Medical Group (SMG), Inc. is Steward's multi-specialty group practice with over 4,500 employees including over 1,800 physicians and advanced practitioners. SMG operates approximately 450 practice locations throughout Massachusetts, Southern New Hampshire, Rhode Island, New Jersey, Pennsylvania, Ohio, Florida, Utah, Arizona, Texas, Louisiana and Arkansas, and provides more than 4 million patient encounters per year.

Position Summary:

The SMG Primary Care Call Center Agent will appropriately gather information from patients in order to schedule appointments, process referrals, prepare prescription refills, and take basic clinical information. This position will also perform other duties as required by the manager with regards to appointment reminder calls, pre-visit planning, and rescheduling appointments as required.

Responsibilities:

  • Answer patient telephone calls coming into the Primary Care Call Center using defined protocols and obtain necessary and required information form the patient in order to process the call.
  • Call Center Agents will determine the patient’s primary reason for calling:
    • If the patient requires an appointment, every effort is made for the patient to be seen the same day if possible, for an acute medical issue.
    • If not able to be seen same day due to patient preference or due to provider limitations, every effort is made to have the patient seen as soon as possible by another MD or advanced practitioner in the practice.
    • In the case of an extenuating circumstance or if the patient is traveling and cannot come in to the office setting, that patient’s interaction would be forwarded directly to the primary care office for further triage.
    • If the provider, associated advanced practitioner, or other coverage for the practice that the primary care provider is associated with are not able to accommodate the patient, other practice locations will be offered in order to have the patient gain access to care.
  • Have knowledge of each practice and providers schedule and scheduling preferences.
  • Follow SMG Best Practices by following pre-visit planning protocols to confirm patient insurance eligibility and contacting patients with upcoming appointments that have not confirmed through other means.
  • Responsible for timely, efficient and accurate documentation in the electronic medical record.
  • Interact with Practice staff and providers to communication and work cooperatively regarding patient care and coordination.
  • Obtain post hospital and transitional care patient lists and proactively schedule these patients per protocol to be seen by their primary care provide (preferably within three to five days) or one to two weeks (minimally).
  • Maintain an updated list for each provider of Medicare Annual Wellness patients and proactively schedule patients as openings become available.
  • Assist in chronic care management as needed and/or requested for telephonic appointments with advanced practitioners.
  • Provide patients with World Class service.
  • Act in a professional manner and treat patients, co-workers, and leadership with respect at all times.
  • Maintains a positive work environment.
  • Other duties as assigned.

Qualifications:

  • Associates degree or relevant work experience required.
  • Call Center experience in a health care setting preferred.
  • Athena and Meditech experience preferred.
  • Knowledge of health care and/or related products, medical terminology, insurance products and coordination of benefits.
  • Ability to evaluate situations and escalate issues appropriately.
  • Ability to bring tasks to completion in a manner satisfactory to all.
  • Ability to communicate with others effectively in a concise manner, in order to bring issues effectively to a resolution.
  • Ability to multitask, and ability to follow through with our patients.
  • Prior to experience with Athena preferred.
  • Experience with Excel, Word and Outlook required.
  • Organizational, time management skills.
  • Ability to think globally about the patient experience.
  • Effective verbal, interpersonal and written communication skills. Creative, flexible and self-motivated.
  • Ability to related positively with patients.

Application Instructions

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