Front Desk Operations
Professional Call Handling and Patient Communication
The front desk is the first point of contact for patients and plays a crucial role in shaping their experience with Advantage Healthcare Systems. This module covers essential protocols for professional call handling, patient communication, and efficient front desk operations.
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Master professional call handling techniques and protocols
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Learn effective patient communication strategies
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Understand call prioritization and escalation procedures
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Develop skills for handling urgent and routine calls
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Learn proper documentation procedures for all patient interactions
Proper call handling is essential for creating a positive patient experience and ensuring efficient operations. Follow these key protocols for all incoming calls.
Standard Call Handling Protocol:
Key Call Handling Standards:
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Professional Greeting: Always answer calls with "Good morning/afternoon, this is [Your Name], how may I assist you?"
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Active Listening: Listen attentively to the caller, validate their concern, and respond with empathy while avoiding blame.
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Call Prioritization: Determine the urgency of the call and prioritize accordingly.
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Hold Protocol: Always ask for the caller's permission before placing them on hold. Wait for patient authorization.
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Documentation: Document the details of the call accurately in the patient's chart using MedHiWa or eClinicalWorks.
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Efficiency: Use time efficiently to resolve the inquiry or provide clear next steps.
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Call Routing: If unable to resolve the issue, inform the caller that they will be connected to the appropriate person or department.
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Escalation: Offer to escalate the matter to a supervisor when needed to ensure resolution.
Default response for all locations: "I understand your concern. Let me see what I can do to help you."
De-escalation technique: Use mirroring language, e.g., "I believe I understand what you're saying," followed by repeating the patient's concern.
Properly identifying and handling urgent calls is critical for patient safety and satisfaction. Understanding the difference between urgent and routine calls helps ensure appropriate prioritization.
Urgent Calls Include:
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Medication reactions or potential side effects
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Peer-to-peer or provider calls
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Patient reports worsening symptoms
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Insurance authorization issues affecting same-day services
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Legal calls from attorneys or adjusters regarding case compliance
Routine Calls Include:
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Billing inquiries
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Appointment scheduling
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General questions
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Directions to facility
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Office hours inquiries
Protocol for Urgent Calls:
- Advise the caller to stop taking the medication
- Instruct them to call 911 or go to urgent care if the issue appears serious
- Inform the on-site doctor if one is present, but do not contact the provider directly otherwise
- Transfer immediately to extension 12 (Pre-Cert Department)
- If Pre-Cert is unavailable, take a detailed message and mark as urgent
- Escalate to MA or Admin
- If neither is available and the situation is severe, advise the patient to call 911
- Note: Worsening symptoms like foot pain are not considered urgent unless the doctor advises otherwise
- For issues affecting same-day services, notify the pre-cert team immediately
- Document the issue in both MedHiWa and eClinical
- For calls from attorneys or adjusters regarding case compliance, escalate to case management or a supervisor
- Document the call with detailed notes
Patients may request earlier appointments, but the front desk must confirm with the doctor before rescheduling.
Timeline for Following Up on Requests to Reschedule Earlier Appointments:
- If the request is received before 2:00 PM: aim for same-day follow-up
- If received after 2:00 PM: respond by the following day, no later than 1:00 PM
- The front desk will communicate with the doctor and get back to the patient with confirmation
Until the new phone system with department-specific menu is fully implemented, all calls are routed through the front desk. Front desk staff are responsible for transferring calls to the appropriate department or team member.
Call Routing Guidelines:
| Call Type | Route To | Extension/Department |
|---|---|---|
| Billing Questions | Billing Department | Extension 15 |
| Insurance Verification | Verification Department | Extension 14 |
| Medical Records Requests | Medical Records | Extension 16 |
| Prescription Refills | Clinical Staff/MA | Extension 13 |
| Provider Calls | Pre-Cert Department | Extension 12 |
| Appointment Scheduling | Front Desk (handle directly) | N/A |
| Clinical Questions | MA or Clinical Staff | Extension 13 |
| Urgent Medical Issues | MA or Admin | Extension 13 or 11 |
When transferring a call, always:
- Inform the caller that you will be transferring them
- Provide the name of the department or person they will be speaking with
- Ask if they would prefer a transfer or a callback
- If transferring, stay on the line until the connection is made
- If the appropriate person is unavailable, offer to take a message and ensure a callback
A patient calls to schedule a follow-up appointment. How would you handle this call?
- Used the proper professional greeting
- Collected all required patient information including DOB
- Provided complete instructions including early arrival time
- Documented the call in both systems as required
A patient calls reporting dizziness and nausea after starting a new medication yesterday. How would you handle this call?
- Classified the call as urgent
- Advised the patient to stop taking the medication
- Escalated to clinical staff immediately
- Recognized the potential need for emergency services if symptoms are severe
Test your understanding of Front Desk Operations:
1. What is the proper greeting for answering calls at Advantage Healthcare Systems?
2. What should you do before placing a caller on hold?
3. Which of the following is considered an urgent call?
4. Where should peer-to-peer or provider calls be transferred?
5. What is the recommended phrase to validate patient concerns?
Excellent work! You've mastered the Front Desk Operations protocols.
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1. "Good morning/afternoon, this is [Your Name], how may I assist you?"check_circle
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2. Ask for their permission and wait for authorizationcheck_circle
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3. Medication reactioncheck_circle
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4. Pre-Cert Department (Extension 12)check_circle
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5. "I understand your concern. Let me see what I can do to help you."check_circle