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Clinical Customer Service Specialist - Full Time

Department: Customer Resource Center
Location: San Diego, CA

Clinical Customer Service Specialist 

Hours: Sunday- Thursday or Tuesday- Sunday

Medical, dental, and vision benefits!

Duties and Responsibilities:

1.Initiate referral by accepting information from referral sources (including the use of multiple electronic referral systems) and completing referral in Homecare Homebase (HCHB) from start to finish.
2. Handles the coordination of complex Home Health cases including, but not limited to, IVs, TPNs, Enteral Feedings.
3. Receives and documents verbal and telephonic orders from MD/MD personnel.
4. Triages and provides verbal and telephonic medical advice to current Home Health patients.
5. Develops and maintains relationships with outside sources such as pharmacies.Call physician offices to thank them for patient referral, ensure that they are following and will sign orders and ask if there is anything else we can help with.
6. Verify clientsí Medicare and/or Medi-Cal number for active status which includes the ability to navigate the MVP system and Medi-Cal database effectively.
7. Screen patients to verify client address and telephone number, service needs, insurance, and if applicable, Durable Power of Attorney information.
8. Apply knowledge of Homecare, Home Health, and Hospice to be able to answer any questions the patients may have about Missionís services
9. Monitor the patientís progress up to the time the RNís initial meeting is scheduled to ensure that he/she receives services as soon as possible and no unnecessary delays are introduced by partner departments. Work closely with Insurance Verification Department, Scheduling and Clinicians and follow-up as required.
10. Handle calls coming in from Marketing, patients, facilities, or physicians immediately as routed through the front-desk.  Act as supplemental marketing for launches of new products and services.


1. Must have current state RN/LVN license.
2. At least 2 years of healthcare experience required. Two yearís experience in home health or hospice experience preferred. 
3. Must have knowledge of the purpose and function of home care and hospice and diagnosis acceptable to those settings.
4. Proficient in Microsoft products, especially Outlook and Word, Adobe, and spreadsheet software.  Ability to copy, scan, and fax sensitive materials.
5. Demonstrated knowledge of the appropriate skills for communicating with individuals of all ages and cultural backgrounds.

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