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    WNS Global Services
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Job Description

Conducts administrative intake and scripted clinical intake of calls for clinical reviewProvides quality customer service through interaction with providers, administrative staff and othersCollects and enters confidential information ensuring the highest level of confidentiality in all areasEscalates all calls to a Clinical Reviewer or Supervisor per guidelinesMaintains written documentation according to HealthHelp”s documentation policyProvides ongoing telephonic support to providers and office staff related to HealthHelp’s Clinical Review processAssists in the orientation and training of new Client Service Representatives in department procedures, protocols, and administrative tasksProvides administrative support to the Clinical Review Department if neededCarries out other projects and responsibilities as assignedParticipates and understands scope of responsibility pertaining to ongoing QI ProjectsMaintains acceptable levels of performance for all KPIsParticipates in the HealthHelp Quality Management Program as requiredAdheres to all HIPAA, state and federal regulations pertaining to the clinical programsAdheres to both URAC & NCQA standards pertinent to their job description


  • High Speed Internet - Required
  • At least one year of Call Center experience
  • At least 2 years of Customer Service experience
  • High School Diploma or GED – required
  • Proficiency with medical terminology highly desirable
  • Microsoft Office (e.g. Excel, Word), Outlook (e.g. email & calendar), and Windows proficiency
  • Associates Degree (preferred)
  • Medical assistant or other clinical or medical office experience highly desirable
  • Highly skilled at delivering client and customer satisfaction
  • Must possess strong verbal and written communication skills
  • Ability to read and comprehend complex documents

Additional Information

All your information will be kept confidential according to EEO guidelines.

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