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Client Service Representative – Operations

Client Services RepresentativeClient ServicesOtherRemoteJuniorTeam 10,001+Since 1996H1B SponsorCompany SiteLinkedIn

Location

Texas

Posted

94 days ago

Salary

$33.3K / year

Seniority

Junior

High School1 yr expEnglish

Job Description

Client Service Representative – Operations

WNS

• Conducts administrative intake and scripted clinical intake of calls for clinical review • Provides quality customer service through interaction with providers, administrative staff and others • Builds and maintains customer satisfaction with products and services; provides excellent service to internal and external customers • Collects and enters confidential information ensuring the highest level of confidentiality in all areas • Maintains high-quality documentation standards when collecting and performing data entry functions • Provides ongoing telephonic support to providers and office staff related to HealthHelp’s Clinical Review process • Provides administrative support to the Clinical Review Department if needed • Participates and understands scope of responsibility pertaining to ongoing Quality Initiative Projects • Maintains acceptable levels of performance for all Key Performance Indicators, such as Average Talk Time (ATT), Quality, and adherence to schedule • Participates in the HealthHelp Quality Management Program as required • Adheres to all HIPAA, state and federal regulations pertaining to the clinical programs • Adheres to both URAC & NCQA standards in keeping with HealthHelp’s compliance initiatives • Carries out other projects and responsibilities as assigned

Job Requirements

  • High School Diploma/GED, required
  • Minimum One (1) year of Healthcare customer service (call center) experience required
  • Ability to hard line internet into computer equipment provided, required
  • Internet upload speed of 5 mbps and download of 25 mbps, required (verified at onboarding)
  • Ability to adhere to strict schedule with ability to adapt to schedule changes, as schedules are subject to change, required
  • Prior experience in a fast-paced in-bound call center environment, preferred
  • HIPAA compliant room, required (verified at onboarding)
  • Prior experience in the healthcare industry (i.e., prior authorizations, patient care, CPT codes, etc.), preferred
  • Ability to read clinical terminology with high levels of proficiency
  • Ability to work efficiently in a fast-paced, high call volume, performance driven Contact Center
  • MS Outlook and Windows proficiency
  • Ability to work on dual monitors and navigate multiple software applications simultaneously
  • Strong time management skills
  • Highly skilled at delivering client and customer satisfaction
  • Must possess strong verbal and written communication skills

Benefits

  • Medical, dental, and vision insurance
  • Paid time off (PTO), holidays, and sick leave
  • 401(k) with company match or other retirement plan
  • Life and AD&D Insurance
  • Employee Assistance Program

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