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SCHEDULING CUSTOMER SERVICE REPRESENTATIVE

Company Presbyterian Healthcare Services
Location Espanola, NM
Update 8 Day ago
300
About Us

Presbyterian Healthcare Services is a locally owned, not-for-profit healthcare system of eight hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, it is the state’s largest private employer with approximately 11,000 employees.

Presbyterian’s story is really the story of the remarkable people who have chosen to work here. Starting with Reverend Cooper who began our journey in 1908, the hard work of thousands of physicians, employees, board members, and other volunteers brought Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system, serving more than 700,000 New Mexicans.

We are part of New Mexico’s history – and committed to its future. That is why we will continue to work just as hard and care just as deeply to serve New Mexico for years to come.

Job Description

Type of Opportunity: Full Time

FTE: 1.000000

Exempt: No

Work Schedule: Varied Days and Hours

Location: Presbyterian Espanola Hospital

Education:
Essential:
  • High School Diploma or GED
Credentials:
Other information:
High school diploma plus one to three years office/business experience, call center experience preferred and/or claims processing experience preferably in managed care with possible enrollment experience Demonstrated ability to communicate effectively in person and via telephone with members, employer groups, brokers, physicians, physician office staff. Written communication skills as well as business writing and presentation skills are required. Requires strong organizational skills, ability to create, sort and analyze reports (Excel, Access, etc) and system processes. A thorough knowledge of reimbursement methodologies i.e. DRG, Relative Value Systems, Per Diem, Fee schedule, Capitation, etc and some knowledge of risk sharing programs helpful. Some knowledge of CRM and EPIC as well as any other databases that may be used PHS Enterprise wide. Demonstrated ability to function effectively as a team member. Requires ability to retain plan details and basic medical terminology. Must be able to work cooperatively with other employees and function under pressure. Demonstrated ability to sustain quality standards. Ability to type 30 wpm with 90% accuracy.

Competencies and skills:
Nonessential:
  • SKILL-Ability to effectively interact with customers to understand their needs and explain data
  • SKILL-Medical Terminology
  • SKILL-Microsoft Office
  • SKILL-Demonstrated ability to communicate effectively in person and via telephone with members, employer groups, brokers, physicians, and physician office staff using strong dialogue and customer service competencies.
  • SKILL-Written communication
Summary:
Responsible for providing customer service for patients in regard to scheduling appointments, referrals, messaging, and maintaining patient demographics. Ensure callers receive service excellence when responding to telephone, written, Pres Online, E-Business, chat, and in person inquiries.

Benefits

Benefits are effective day-one (for .45 FTE and above) and include:

Competitive salaries

Full medical, dental and vision insurance

Flexible spending accounts (FSAs)

Free wellness programs

Paid time off (PTO)

Retirement plans, including matching employer contributions

Continuing education and career development opportunities

Life insurance and short/long term disability programs

About New Mexico

New Mexico’s unique blend of Spanish, Mexican and Native American influences contribute to a culturally rich lifestyle. Add in Albuquerque’s International Balloon Fiesta, Los Alamos’ nuclear scientists, Roswell’s visitors from outer space, and

Santa Fe’s artists, and you get an eclectic mix of people, places and experiences that make this state great.

Cities in New Mexico are continually ranked among the nation’s best places to work and live by Forbes magazine, Kiplinger’s Personal Finance, and other corporate and government relocation managers like Worldwide ERC.

New Mexico offers endless recreational opportunities to explore, and enjoy an active lifestyle. Venture off the beaten path, challenge your body in the elements, or open yourself up to the expansive sky. From hiking, golfing and biking to skiing, snowboarding and boating, it’s all available among our beautiful wonders of the west.

AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.