Full-Time Client Service Representative - Operations

Conducts administrative and clinical call intakes for clinical review.

Provides quality customer service through interactions 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.

Maintains high-quality documentation standards for data entry.

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 performance levels for KPIs like Average Talk Time (ATT), Quality, and adherence to schedule.

Participates in the HealthHelp Quality Management Program as required.

Adheres to HIPAA, state, and federal regulations pertaining to the clinical programs.

Adheres to URAC & NCQA standards in keeping with HealthHelp's compliance initiatives.

Carries out other projects and responsibilities as assigned.

1. High School Diploma/GED
2. One (1) year of customer service experience
3. Ability to hard line internet into computer equipment
4. Internet upload speed of 5 mbps and download of 25 mbps (verified at onboarding)
5. Ability to adhere to strict schedule with ability to adapt to changes
6. Prior experience in a fast-paced inbound call center environment (preferred)
7. HIPAA compliant room (verified at onboarding)
8. Prior experience in the healthcare industry (i.e., prior authorizations, patient care, CPT codes, etc.) (preferred)
9. Ability to read clinical terminology proficiently
10. Ability to work efficiently in a fast-paced, high call volume, performance driven Contact Center
11. MS Outlook and Windows proficiency
12. Ability to work on dual monitors and navigate multiple software applications simultaneously
13. Strong time management skills
14. Highly skilled at delivering client and customer satisfaction
15. Strong verbal and written communication skills

PHYSICAL REQUIREMENTS

• Ability to wear a headset for 8 hours a day
• Ability to respond quickly to instructions in a fast-paced work environment
• Ability to talk without voice restrictions for 8 hours a day
• Ability to sit for extended periods without a break

HealthHelp provides equal opportunities to all employees and applicants without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, marital status, amnesty or status as a covered veteran in accordance with applicable federal, state, and local laws.

If you need assistance in completing this application due to a disability, please contact a member of the Talent Acquisition Group to request an accommodation or an alternative application process by emailing talent@healthhelp.com

Possible employment type: Full-time

Possible allowed location: Houston, NA

What is the last date for applying to the job?

Which countries are accepted for this remote job?