Medical Customer Service Representative – Remote (Clarkston)

Medical Customer Service – RemoteCustomer Service VIRTUAL CAREER DAYWednesday June 9, 2021 – 2pm – 5pmJoin us to chat with Hiring Managers and Recruiters about Customer Service opportunities!About Us:HealthHelp – A WNS Company (www.HealthHelp.com), is the leader in the field of healthcare utilization & care management. We have gained this position by actively working to change out-of-date practices with a collaborative, non-denial based approach. Our methodology helps payors achieve a higher return on investment, gives providers education programs that better inform physicians, and ensures quality and safety for the patients needing treatment.Customer Service Representative* Conducts administrative intake and scripted clinical intake of calls for clinical review* Provides quality customer service through interaction with providers, administrative staff and others* Collects and enters confidential information ensuring the highest level of confidentiality in all areas* Escalates all calls to a Clinical Reviewer or Supervisor per guidelines* Maintains written documentation according to HealthHelp s documentation policy* Provides ongoing telephonic support to providers and office staff related to HealthHelp s Clinical Review process* Assists in the orientation and training of new Client Service Representatives in department procedures, protocols, and administrative tasks* Provides administrative support to the Clinical Review Department if needed* Carries out other projects and responsibilities as assigned* Participates and understands scope of responsibility pertaining to ongoing QI Projects* Maintains acceptable levels of performance for all KPIs* 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 pertinent to their job descriptionQualifications* 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 documentsWe look forward to chatting with you!Associated topics: answer, call center associate, customer care representative, customer service associate, internship, platform support, representante de servicio al cliente, system support, telephone, tsr