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  • ID
    #5116738
  • Job type
    Full-time
  • Salary
    TBD
  • Source
    WNS Global Services
  • Date
    2020-10-23
  • Deadline
    2020-12-22
 
Full-time

Vacancy expired!

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

Qualifications

  • High speed internet required
  • Must reside in Houston, Texas
  • MS Outlook and Windows proficiency
  • Ability to work in more than one computer program and screen simultaneously
  • Strong time management skills
  • Ability to adhere to strict schedule with ability to adapt to schedule changes
  • High School Diploma/GED required
  • Associates Degree preferred or applicable work experience in customer service field
  • General knowledge and/or experience in the healthcare industry (i.e., prior authorizations, patient care, etc.) is desirable
  • At least one year of Call Center experience
  • Highly skilled at delivering client and customer satisfaction
  • Must Possess strong verbal and written communication skills
  • Ability to read clinical terminology with high levels of proficiency

Additional Information

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

Must reside in Houston, Texas

Vacancy expired!

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