Client Service Representative - Operations
Full-time AssociateJob 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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