Customer Experience Associate (Receptionist)- Saturday Per Diem in Carolina at CORE PLUS LLC

Who are we?

For more than 26 years, CorePlus has provided Puerto Rico with anatomical pathology laboratory services and clinical analysis with innovation and precision. Our commitment is, to be a leader in the transformation of pathology to the digital world.

In 2020 we deployed our digital pathology platform, being the first organization in Puerto Rico to make the transformation. Known worldwide for operationalizing the use of Artificial Intelligence (AI) in the diagnosis of prostate and breast cancer, CorePlus stands out for being avant-garde.

If innovation and compassion appeal to you, we invite you to join our mission and become part of our family; we offer excellent benefits including health plan, dental, vision, 401k, paid vacation, and life insurance.

The Position

The Customer Experiencia Associate (Receptionist) has the responsibility to receive, register and bill all the clinical cases to the insurance companies. He or she will ensure that after the laboratory results are complete, all the documents will be scanned and the information accessioning to the new iCore system. He or She will coordinate the clinical laboratory workflow as well as the personnel daily tasks and schedules.

Responsibilities

• Received and registered the patients in the SAIL platform system.
• Verify and confirm that the requested tests are performed by CorePlus or any of our Reference laboratories.
• Verify eligibility and frequency for the tests with the medical insurance and patient’s medical records, respectively.
• Accession of patient’s demographic and medical insurance information to SAIL.
• Scanned insurance card, patient’s ID, and all documentation to the patient’s record.
• Assist the RCM department in the tasks assigned by its director.
• Make calls to medical offices to confirm diagnoses and/or any other reason that warrants the call.
• Clinical payment reconciliation.
• Keep custody of petty cash box, perform, and submit a daily report daily to the RCM specialist.
• Address phone calls as required.
• Coordinates the “home visits” and adds the appointment to the weekly calendar.
• Refer a home visit to the CallCenter by email and attaching all the required documents.
• Provide service to patients regarding result status, send results to doctor’s office when is required.
• Follows the requirements to comply with HIPAA Law.
• Accession manual requisition from Reference Laboratory clients in SAIL, if necessary.
• Communication with customer laboratories and CSR; if necessary.
• Maintain updated laboratory files and statistics.

• Send results via email as requested and print out the report with CSR.
• Verify invoices monthly.
• Assist in the orientation and coordination of FNA appointments.
• Assist in the orientation and coordination of processes in Cytology samples.
• Verify invoices monthly.
• Maintain good communication with labs personnel.
• Other tasks to be assigned by the Supervisor.
• Work with supervisor and other staff to develop and maintain a strategic perspective to contribute to accomplish organizational goals.

Requirements and Skills

• Bachelor’s degree in related area.
• Strong computer skills including but not limited to Microsoft Office, Excel, and Power Point.
• Knowledge of regulations and standard of the regulatory agencies: CLIA, OSHA
• Knowledge of tools, concepts, and methodologies of Clinical Billing.

Working Conditions/ Physical Activity:

• While performing the duties of this job, the employee is regularly required to talk and listen.
• The employee frequently is required to stand; walk; use hands to finger, handle or feel; and reach with hands and arms.
• The employee is occasionally required to sit; climb or balance; and stoop, kneel, crouch or crawl.
• The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds.
• Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.

CorePlus is an equal employment/affirmative action opportunity employer. It does not discriminate against any qualified person on the basis of sex, race, color, national origin, religion, sexual orientation, age, marital status, mental, physical or sensory disability, or any other classification protected by applicable local, state, federal, and/or international law.