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Client Service Representative – Operations
WNSClient Service Representative conducting healthcare call intake and provider support for WNS, a Capgemini intelligent operations company. Maintaining confidential records, clinical review support, and contact-center performance standards.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates proficiency in healthcare customer service within a fast-paced call center environment, adhering to HIPAA and quality standards while maintaining high levels of documentation accuracy and customer satisfaction.
Highest-signal resume keywords
Healthcare Customer Service ExperienceHIPAA ComplianceQuality Documentation StandardsMS Outlook ProficiencyTime Management 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
Clinical Terminology ProficiencyData EntryPerformance Metrics AdherenceInternet Connectivity SetupCPT Code Familiarity
Soft Skills
Strong Verbal CommunicationStrong Written CommunicationAdaptabilityCustomer Satisfaction FocusTime Management
Tools & Technologies
Windows Operating SystemDual Monitor SetupCall Center Software
Certifications & Qualifications
High School Diploma/GED
Industry Keywords
Call CenterQuality Initiative ProjectsURAC StandardsNCQA StandardsConfidential Information Handling
About the role
Key responsibilities & impact- Conduct administrative intake and scripted clinical intake of calls for clinical review
- Provide quality customer service to providers, administrative staff, and other stakeholders
- Build and maintain customer satisfaction with products and services
- Collect and enter confidential information while maintaining strict confidentiality
- Maintain high-quality documentation standards during data collection and entry
- Provide ongoing telephonic support to providers and office staff regarding HealthHelp’s Clinical Review process
- Provide administrative support to the Clinical Review Department as needed
- Participate in and understand responsibilities related to ongoing Quality Initiative Projects
- Maintain performance levels for KPIs including Average Talk Time, Quality, and schedule adherence
- Participate in the HealthHelp Quality Management Program as required
- Adhere to HIPAA, state, and federal regulations
- Adhere to URAC and NCQA standards
- Carry out other assigned projects and responsibilities
Requirements
What you’ll need- High School Diploma/GED, required
- Minimum one year of healthcare customer service (call center) experience required
- Ability to hard-wire internet into provided computer equipment, required
- Internet upload speed of 5 Mbps and download speed of 25 Mbps, verified at onboarding
- Ability to adhere to a strict schedule and adapt to schedule changes, required
- HIPAA-compliant room, verified at onboarding
- Ability to read clinical terminology with high 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
- Strong verbal and written communication skills
- Prior fast-paced inbound call center experience preferred
- Prior healthcare industry experience, including prior authorizations, patient care, or CPT codes, preferred
- Ability to wear a headset for eight hours per day
- Ability to respond quickly to instructions in a fast-paced work environment
- Ability to talk without voice restrictions for eight hours per day
- Ability to sit for extended periods without a break
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
- Performance-based bonuses, incentive pay, or commissions may be available
- Reasonable accommodations for disabilities and sincerely held religious beliefs