Kaiser Permanente

Orange County- FT- Appointment Clerk- 10:30 AM 07:00 PM- 1308901


PayCompetitive
LocationAnaheim/California
Employment typeOther

This job is now closed

  • Job Description

      Req#: 1308901
      This position provides high level member assistance by scheduling various appointments requested, transferring calls appropriately, composing messages, and providing general information.


      Essential Functions:
      - Upholds Kaiser Permanente's Policies and Procedures, Principles of Responsibilities and applicable state, federal and local laws.
      - Operates in a high volume, highly structured call center environment by responding to incoming calls.
      - Determines the type of appointment requested or needed, reviews scheduling mix of various physicians/providers, and them makes appointment utilizing appropriate guidelines.
      - Prioritizes member needs and offers alternatives to members when appropriate.
      - Utilizes superior customer service skills to provide service to members when diffusing difficult member encounters.
      - Uses tact and diplomacy in handling difficult interactions with members.
      - Determine if calls are urgent or emergent by listening to the member, following established guidelines, and then transferring the call to a Registered Nurse when appropriate.
      - Composes messages for physician/providers, Registered Nurses or other medical staff based on member requests.
      - Responds in a courteous and professional manner to general questions, using on-line databases to provide information to any member or other personnel calling the center.
      - Identifies ways to improve quality of service to members and recommends steps used to accomplish these changes.
      - Must perform all of the above duties while meeting established standard of performance for quality and productivity.
      - Performs clerical duties which may include assigning new members a primary care physician, processing self-referral requests, calling patients and booking appointment for specialty appointments, calling members to cancel and reschedule appointments.
      - Principle Job Duties and Skills:
      - Answer incoming calls.
      - Determine type of appointment needed, determine appointment availability and schedule appointments.
      - Prioritize member's need and offer alternatives to member when appropriate.
      - Determine if calls are urgent or emergent and refer to RNs as appropriate following established guidelines.
      - Compose messages to providers or other medical staff based on member requests.
      - Utilize databases to give information to members and other callers as requested.
      - Refer members to eligibility department as appropriate.
      - Notify members of appointment/scheduling changes by telephone as directed.
      - Schedule, reschedule and/or verify appointments.
      - Answer member inquiries.
      - Contact appropriate department to obtain medical record numbers of new enrollees.
      - Assist in resolving problems related to duplicate medical record numbers.
      - Initiate change of physician requests.
      - Initiate change forms for corrected medical record numbers.
      - Verify and update member demographics.
      - Perform on-line inquiry functions.
      - Perform data retrieval of computerized data.
      - Record and maintain activity logs.
      - Clear paper jams and other routine maintenance of printers/copiers.
      - Recommend procedure changes.
      - Train and orient new or less experienced personnel.
      - Serve as resource persons to co-workers and assist in problem solving.
      - Perform other activities and duties as directed.
      - Initiate telephone calls to physicians or other medical office staff when indicated to assist members.
      - Assume other activities and responsibilities from time to time as directed.
  • About the company

      Providing high-quality, affordable health care services and improving the health of our members and the communities we serve.