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Client Service Representative – Operations
WNSClient Service Representative providing administrative and telephonic support in healthcare operations for WNS. Focusing on customer service and maintaining compliance in clinical reviews.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Healthcare Customer Service within a fast-paced call center environment, ensuring adherence to HIPAA regulations and maintaining high-quality documentation standards. Proficient in managing confidential information while delivering exceptional client satisfaction and support.
Highest-signal resume keywords
Healthcare Customer Service ExperienceHIPAA ComplianceQuality Documentation StandardsMS Outlook ProficiencyStrong Verbal and Written Communication Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Data EntryClinical Terminology ProficiencyCPT Codes KnowledgeCall Center Performance MetricsInternet Connectivity Setup
Soft Skills
Time ManagementCustomer Satisfaction FocusAdaptability to Schedule Changes
Tools & Technologies
Windows Operating SystemDual Monitors Setup
Certifications & Qualifications
High School Diploma/GED
Industry Keywords
HIPAAURAC StandardsNCQA StandardsQuality Initiative ProjectsClinical Review Process
About the role
Key responsibilities & impact- 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
Requirements
What you’ll need- High School Diploma/GED, required
- Minimum One (1) year of Healthcare customer service (call center) 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)
- Ability to adhere to strict schedule with ability to adapt to schedule changes, as schedules are subject to change, required
- Prior experience in a fast-paced in-bound call center environment, preferred
- HIPAA compliant room, required (verified at onboarding)
- Prior experience in the healthcare industry (i.e., prior authorizations, patient care, CPT codes, etc.), preferred
- Ability to read clinical terminology with high levels of proficiency
- Ability to work efficiently in a fast-paced, 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
- Highly skilled at delivering client and customer satisfaction
- Must possess strong verbal and written communication skills
Benefits
Comp & perks- Medical, dental, and vision insurance
- Paid time off (PTO), holidays, and sick leave
- 401(k) with company match or other retirement plan
- Life and AD&D Insurance
- Employee Assistance Program