Customer Service Representative

1 month ago

East Greenbush, United States HealthHelp Full time

**Customer Service Representative - Remote**

* 99 Troy Rd, East Greenbush, NY 12061, USA

* Employees can work remotely

* Full-time

**Company Description**

*** This position is for a training class scheduled to start April 18. ***

**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 We have gained this position by actively working to change out-of-date practices with a collaborative, non-denial based approach.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.

HealthHelps innovative approach and strong IT capability in specialty benefits management means that staff will move healthcare forward when provided with evidence-based solutions and second opinions. HealthHelp's staff is comprised of healthcare professionals who make a difference every day. HealthHelp has a desire to fill their company with talented and innovative people who want a career path filled with success and personal growth.

Our specialty benefits management services are broad and include, Cardiology, Oncology, Radiology, Radiation Therapy, Sleep Care, and Musculoskeletal Care. HealthHelp has two locations in Houston, one a corporate office and the second a state-of-the art contact center. HealthHelp is also proud to have another such contact center in Albany, New York.

**WNS (Holdings) Limited (NYSE: WNS)** is a global Business Process Management (BPM) leader. WNS offers business value to 400+global clients by combining operational excellence with deep domain expertise in key industry verticals, including Banking and Financial Services, Consulting and Professional Services, Healthcare, Insurance, Manufacturing, Retail and Consumer Packaged Goods, Shipping and Logistics, Telecommunications, Travel and Utilities.

**Job Description**

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 HealthHelps 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 HealthHelps compliance initiatives

Carries out other projects and responsibilities as assigned

**Qualifications**

High School Diploma/GED, required

1 year of customer service 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)

HIPAA compliant room, required (verified at onboarding)

Prior experience in the healthcare industry (i.e., prior authorizations, patient care, CPT codes, etc.), preferable

Ability to read clinical terminology with high levels of proficiency

Ability to work efficiently in a fast pace, 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

Ability to adhere to strict schedule with ability to adapt to schedule changes

Highly skilled at delivering client and customer satisfaction

Must possess strong verbal and written communication skills

**Additional Information**

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

**Job Location**

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