Access Operations Associate – Patient Access (Multiple Positions) – Stanford Health Care – Newark, CA

Job Summary

The Stanford Health Care (SHC) Enterprise Contact Center (ECC) Access Operations Contact Center (AOCC) handles a high-volume of inbound calls, outbound calls, faxes and other communication with patients, providers, clinic staff, and others needing to access health care services at one or multiple SHC departments/clinics. The Access Operations Contact Center staff within the ECC is responsible for providing an excellent patient and customer experience by efficiently coordinating services and accurately answering or properly referring inquires

Essential Functions

The essential functions listed are typical examples of work performed by positions in this job classification, and are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Specific duties and responsibilities may vary depending on department or program needs without changing the general nature and scope of the job or level of responsibility. Employees may also perform other duties as assigned.
Employees must abide by all Joint Commission requirements including, but not limited to, sensitivity to cultural diversity, patient care, patients’ rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings.
Employees must perform all duties and responsibilities in accordance with the C-I-CARE Standards of the Hospital. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions.

All qualified applicants will receive consideration for employment without regard to race, sex, color, religion, national origin, protected veteran status or on the basis of disability.

The functions performed by employees in this job family will vary by level or the area(s) to which assigned, but may include (and not be limited to) the following:

Responds to a high-volume of incoming and outgoing telephone calls and faxed referrals
Assists patients in registering, scheduling, changing, and canceling appointments across multiple departments/specialties
Delivers expert knowledge regarding clinic-specific processes
Accurately documents and routes calls to the proper department
Identifies urgent customer needs or operational issues, and escalates appropriately
Efficiently navigates medical records and ensures patient information is up-to-date and accurately entered in the correct location
Obtains insurance authorization as necessary and communicate status to patients
Coordinates outpatient appointments and conjunctive services
Assists community physicians requesting to consult with SHC physicians
Provides care coordination when appropriate to ensure patient needs are met and to ensure clinic and medical protocols are followed
Educates patients on providing medical records and other medical documentation needed for SHC appointments
Communicates with patients and referring providers regarding insurance authorizations (including approvals and denials) and request required clinical documentation when necessary
Meets all regulatory and compliance standards
Delivers high-level of customer service
Follows documented protocols and guidelines

Meets and exceeds departmental quality assurance standards
Uses reference documents and online knowledgebase tools to clearly articulate accurate information regarding SHC services
Uses functionality of the telephone system as required
Other departmental duties as assigned
Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.

Minimum Qualifications

Education
High school diploma or GED equivalent

Experience
Two (2) years of progressively responsible and directly related work experience in a healthcare setting, preferably in a call center environment

License/Certifications
None

Knowledge, Skills and Abilities

These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education, or licensure/certification.

Type 40 words per minute
Intermediate computer skills (Windows, Excel, and Word)
Good communication, customer service, interpersonal skills and cross-cultural competency.
Knowledge of medical terminology
Demonstrated knowledge of proper English grammar in speaking and writing
Effectively listen to resolve patient’s/customers inquiries
Maintain respect and composure in stressful situations
Navigate complex software tools and accurately input data

Effectively document caller notes into the medical record
Ability to adjust communication to fit the needs and level of understanding of the receiver
Ability to apply business logic to resolve patient/customer issues while managing multiple priorities
Ability to foster relationships, build trust with providers, nurses, staff, and patients and to work in a collegial team environment

Ability to plan, prioritize, and organize work independently with attention to detail
Ability to foster relationships, build trust with providers, nurses, staff, and patients and to work in a collegial team environment

Physical Requirements/Working Conditions

PHYSICAL REQUIREMENTS/WORKING CONDITIONS
There may be some walking, standing, bending and carrying of light items such as papers and books. No special physical demands are required to perform the work.
The working conditions outlines the environment in which the employee will typically work.
Work is performed in a typical office environment with standard equipment and tasks.

RISK OF EXPOSURE TO BLOODBORNE PATHOGENS
Category/Description: Category III – Tasks that involve NO exposure to blood, body fluids or tissues, and Category I tasks that are not a condition of employment

Source: Indeed.com
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