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
One (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)
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
PHYSICAL REQUIREMENTS
Ability to wear a headset for 8 hours a day required
Ability to respond quickly to instructions in a fast-paced work environment required
Ability to talk without voice restrictions for 8 hours a day required
Ability to sit for extended periods of time without a break required
Additional Information :
Compensation Disclosure
The base salary for this position is $33280 annually. This represents the base pay range that we reasonably expect to offer for this position.
Final compensation will be determined based on a variety of factors including but not limited to the candidates experience education skillset and location.
Geographic location
Overall professional experience
Directly relevant experience
Education and certifications
Industry knowledge and expertise
Skills and competencies
In addition to base pay this role may be eligible for performance-based bonuses incentive pay or commissions which are not included in the listed base salary range.
WNS complies with all applicable federal state and local pay transparency laws including those in California Colorado New York Washington and Illinois.
Note: For complete compensation information please refer to the job posting on our official careers page.
Benefits Overview
Our benefits package includes (but is not limited to):
- 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
Equal Opportunity Employer Statement
WNS is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
All qualified applicants will receive consideration for employment without regard to race color religion sex (including pregnancy childbirth or related medical conditions) sexual orientation gender identity or expression national origin age disability genetic information veteran status or any other status protected under federal state or local law.
We also provide reasonable accommodations to individuals with disabilities and for sincerely held religious beliefs in all aspects of employment including the application process.
How to Apply
Please submit your application including a resume and optional cover letter through our careers page or email to
Remote Work :
Yes
Employment Type :
Full-time
WNS (Holdings) Limited (NYSE: WNS), is a leading Business Process Management (BPM) company. We combine our deep industry knowledge with technology and analytics expertise to co-create innovative, digital-led transformational solutions with clients across 10 industries. We enable busin ... View more