The Patient/Provider Services Rep handles the administrative activities for the call center. This position responds to a large amount of incoming calls, open and maintain member inquiry by detailing information and handling complaints. This position works with a wide range of internal and external partners, including physicians, senior management, managers, and office staff. Will work independently and take initiative.
Job Duties and Responsibilities:
Serves as a liaison between providers, patients, health plans and other internal departments throughout the Cedars-Sinai providing superb customer service, daily and weekly updates of call center activities to ensure success of department.
Provides operational support to the call center including training when appropriate.
Responds to issues pertaining to claims, eligibility, utilization/referrals, quality and/or marketing.
Handles complaints and provides appropriate solutions and alternative options.
Providing healthcare for more than 100 years, Cedars-Sinai has evolved into one of the most dynamic and highly renowned medical centers in the world. Along with caring for patients, Cedars-Sinai is a hub for biomedical research and a training center for future physicians and other healthcare professionals. This attracts exceptional talent to Cedars-Sinai, including world-renowned physician-scientists who seek a place where they can both conduct research and see patients--the ideal formula for discovery and its translation into cures. Our patients benefit from access to doctors at the top of their fields, and our researchers have an ideal community in which to study the impact of healthcare challenges, and reflect that knowledge in their research. The greater Los Angeles area in which Cedars-Sinai resides possesses unparalleled cultural and ethnic diversity which offers outstanding opportunities for translational and clinical research and a dynamic environment for medical education.Although community based, Cedars-Sinai is a major t...eaching hospital affiliated with the David Geffen School of Medicine at the University of California, Los Angeles (UCLA). Cedars-Sinai has highly competitive graduate medical education programs in more than 50 specialty and subspecialty areas, a graduate program in biomedical sciences and translational medicine, a clinical scholars program directed towards junior physicians with aspirations to become clinical scientists, and post graduate training opportunities.There are more than 250 full-time faculty members at Cedars-Sinai. The voluntary medical staff, comprised of more than 2,200 specialty board-certified or board-qualified physicians, represent all of the specialties and subspecialties and collaborate with full-time medical staff in the teaching responsibilities of the graduate medical education programs.