a medical call center agent providing customer service to a patient
Call Center Outsourcing

Medical Call Center Services: Best Practices for Success

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When you need urgent access to care, you need urgent access to care immediately. That’s why medical call centers are such powerful resources. Of course, many of the calls and questions they handle are routine patient support. Yet many medical call centers have trained nurses on staff to assist in emergencies 24 hours a day. It’s the kind of care we all hope to have access to.

Let’s explore the ins and outs of medical call centers, how they can benefit your practice, and offer some tips for success.

Understanding medical call center services

First, what distinguishes a medical call center from a general call center?

A medical call center specifically supports the healthcare industry. While they operate similarly to a general call center, medical call centers are distinct in several key factors.

General call center services

General call center services cater to a wide range of industries and provide the following services:

General call centers handle a broad range of customer issues, focusing on efficiency and customer satisfaction.

Medical call center services

On the other hand, medical call center services require a higher level of expertise and sensitivity. Agents must be highly skilled in the following areas:

  • Confidentiality: Medical call centers deal with sensitive patient information, which requires strict adherence to confidentiality and privacy laws.
  • Empathy: Staff must show empathy and understanding as they navigate sensitive conversations.
  • Accurate information: Information provided by medical call centers must be accurate and reliable.
  • Security: Handling electronic Protected Health Information (ePHI) requires robust security measures to prevent unauthorized access, use, or disclosure.
  • Compliance with regulations: Medical call centers must comply with regulations governing healthcare, data protection, and patient rights.

Types of services offered by medical call centers

Medical call centers employ different levels of patient care coordinators. Some handle routine services like scheduling appointments and sending reminders. Others are trained nurses who can provide real medical support. Let’s look at some of the most common services medical call centers offer:

  • Appointment scheduling and reminders: Medical call centers handle booking, rescheduling, and canceling appointments. Agents also send timely reminders to reduce no-shows.
  • Patient pre-registration and information: Call centers collect patient information to streamline check-in and improve patient experience.
  • Medical answering services: By outsourcing to a call center, healthcare providers can offer 24/7 answering services. This ensures patients can reach healthcare providers during emergencies and outside business hours.
  • Nurse triage services: Some medical call centers employ registered nurses who can offer immediate assessment and advice. These services help determine the urgency of a patient’s condition and direct them to the appropriate level of care.
  • Health information and education: Clinically-trained agents can support patients with medical information and tips. This can include:
    • General health information
    • Post-discharge instructions
    • Guidance on medication management
    • Tips for managing chronic conditions
  • Remote patient monitoring: Telehealth is becoming more and more popular. Medical call centers support telehealth services by monitoring patient health data remotely, facilitating virtual consultations, and ensuring continuous care for chronic conditions.

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The significance of medical call center services in healthcare

Whether answering questions, adjusting schedules, or responding to emergencies, many medical call center services play a significant role in the healthcare industry.

Enhanced patient care and satisfaction

Effective call center services ensure patients can communicate their needs, concerns, and questions efficiently. Agents are easily accessible and trained to provide personalized assistance and empathetic support.

Call centers consistently follow up with patients with health information, appointment reminders, and medication adherence calls. All of this contributes to better patient care and higher satisfaction.

Easier access to healthcare services and information

Medical call centers provide round-the-clock access to healthcare services, ensuring patients receive assistance whenever needed. Agents offer 24/7 guidance on preventive care, symptom management, and health education. This type of support significantly reduces barriers to accessing care.

Handle emergencies and provide timely medical guidance

Many call centers offer nurse triage services to assess patient symptoms on a phone call. Trained agents can even guide callers on emergency steps while waiting for medical help to arrive.

Increase operational efficiency of medical providers

Medical call centers streamline healthcare providers’ systems and services. They handle general inquiries, schedule appointments, and follow up with patients. This frees up medical staff to focus on clinical duties and patient care.

Call centers also proactively collect data on patient needs, preferences, and feedback. Healthcare providers can use this information to improve services, tailor patient care, and make informed operational decisions.

Best practices for medical call center success

For a medical call center to succeed, it must ensure high-quality service, efficiency, and compliance with healthcare standards. Let’s look at some best practices to implement for success.

Implement rigorous training programs.

All agents should receive extensive training in medical terminology and patient care. Further training should focus on confidentiality, HIPAA compliance, empathy, customer service, and specific protocols for handling various calls, including emergencies.

Utilize advanced technology and software.

Advanced technology helps with efficient call routing, managing patient records, and ensuring data security. Your technology should also fully integrate with healthcare organizations’ systems to provide seamless access to patient records.

Measure performance and provide feedback.

Work closely with each healthcare provider to ensure your agents meet their high standards of quality. Regularly monitor key performance indicators (KPIs) such as call response times, resolution rates, and patient satisfaction scores. Provide feedback and further training to ensure agents properly care for patients.

Challenges and solutions in medical call center operations

Fielding medical questions and providing support is an inherently challenging job. Medical call centers must deliver the highest level of patient care and adhere to strict compliance regulations. The following are the most common challenges medical call centers face, along with some solutions for overcoming them.

Challenge #1: Maintaining patient privacy and data security

It can be challenging for healthcare providers to trust medical call centers to maintain patient privacy. Yet ensuring the confidentiality and security of patient information is absolutely necessary.

Solution: Implement robust security measures such as encryption, secure data storage, and regular security training for staff. Conduct periodic audits and compliance checks to ensure the medical call center adheres to privacy laws and regulations.

Challenge #2: Handling sensitive calls with empathy and accuracy

Calls to medical call centers often involve health concerns that can be stressful or emotional for patients. This requires staff to handle inquiries with a high degree of empathy and accuracy.

Solution: Provide ongoing training in empathy, communication skills, and medical knowledge to ensure staff respond appropriately. Implement a supportive supervision system where staff can seek advice or escalate calls.

Challenge #3: Complying with healthcare regulations

Maintaining and ensuring compliance with ever-changing healthcare regulations and laws is demanding. This is especially true for medical call centers located outside of the United States.

Solution: Hold regular training for staff on compliance matters. Consider adding a compliance officer or team dedicated to monitoring regulatory changes and implementing necessary updates.

Proactively addressing these challenges will significantly enhance the efficiency, effectiveness, and quality of medical call center services, ultimately improving patient care and satisfaction.

Measuring success in medical call center services

As you partner with a medical call center, establish key metrics to evaluate the quality of their services. Here are some of the best KPIs for measuring the success of a medical call center:

  • Average call handling time: This metric measures the average time it takes to handle a call. It helps assess the efficiency of call center staff and identify training needs.
  • First call resolution (FCR) rate: FCR is the number of calls resolved on the first interaction. A high FCR rate indicates that the call center effectively addresses patient inquiries and concerns.
  • Patient satisfaction scores: Post-call surveys assess the overall quality of service from the patient’s perspective. This includes staff behavior, resolution effectiveness, and clarity of communication.
  • Error rate: In medical call centers, the error rate tracks mistakes in handling patient information, scheduling appointments, and providing advice. A low error rate is critical for ensuring patient safety and trust.
  • Compliance rate: For medical call centers, compliance with healthcare regulations is non-negotiable. This KPI measures adherence to legal and ethical standards like HIPAA.

Regularly monitoring KPIs allows medical call centers to optimize operations, improve patient care, and enhance the overall patient experience. You can also tailor the selection of KPIs to the specific goals and challenges of the healthcare provider.

When looking to forge a successful partnership with a medical call center, choosing one you can trust is critical. At Global Response, we are deeply committed to enhancing patient satisfaction, operational efficiency, and cost-effectiveness. Our state-of-the-art technology and HIPAA-compliant processes ensure the highest standard of privacy and security. And our team of highly trained, empathetic professionals delivers exceptional patient care.

Contact Global Response to see how we can elevate your patient experience today.

FAQs

Medical call centers offer a variety of services tailored to the healthcare sector:

  • Appointment scheduling and reminders
  • Patient pre-registration
  • Medical answering services
  • Nurse triage services
  • Health information and education
  • Support for remote patient monitoring

These services enhance patient care, improve access to healthcare, and support healthcare providers.

Yes, certain medical call centers provide medical advice through nurse triage services. Licensed nurses and other qualified healthcare professionals assess the caller’s symptoms and provide guidance. However, agents typically provide more general information and direct patients to seek in-person care for detailed assessments.

Agents quickly identify calls that require immediate attention and provide callers with instructions on how to proceed. Call center staff can also expedite appointments and direct patients to the nearest appropriate healthcare facility. Training in emergency protocols ensures agents make rapid, informed decisions to assist callers in critical situations.

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