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Client Service Representative - Operations

Full-time Associate

Job Overview

•    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 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 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 HealthHelp’s compliance initiatives 
•    Carries out other projects and responsibilities as assigned

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