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Medical Customer Service Representative - Remote (Iowa)

Company: Health Help
Location: Iowa
Posted on: June 7, 2021

Job Description:

Medical Customer Service - Remote

Customer Service VIRTUAL CAREER DAY Wednesday June 9, 2021 - 2pm - 5pm Join us to chat with Hiring Managers and Recruiters about Customer Service opportunities! About Us: HealthHelp - A WNS Company (, is the leader in the field of healthcare utilization & care management. We have gained this position by actively working to change out-of-date practices with a collaborative, non-denial based approach. Our methodology helps payors achieve a higher return on investment, gives providers education programs that better inform physicians, and ensures quality and safety for the patients needing treatment. Customer Service Representative

* Conducts administrative intake and scripted clinical intake of calls for clinical review * Provides quality customer service through interaction with providers, administrative staff and others * Collects and enters confidential information ensuring the highest level of confidentiality in all areas * Escalates all calls to a Clinical Reviewer or Supervisor per guidelines * Maintains written documentation according to HealthHelp s documentation policy * Provides ongoing telephonic support to providers and office staff related to HealthHelp s Clinical Review process * Assists in the orientation and training of new Client Service Representatives in department procedures, protocols, and administrative tasks * Provides administrative support to the Clinical Review Department if needed * Carries out other projects and responsibilities as assigned * Participates and understands scope of responsibility pertaining to ongoing QI Projects * Maintains acceptable levels of performance for all KPIs * 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 pertinent to their job description


* High Speed Internet - Required * At least one year of Call Center experience * At least 2 years of Customer Service experience * High School Diploma or GED required * Proficiency with medical terminology highly desirable * Microsoft Office (e.g. Excel, Word), Outlook (e.g. email & calendar), and Windows proficiency * Associates Degree (preferred) * Medical assistant or other clinical or medical office experience highly desirable * Highly skilled at delivering client and customer satisfaction * Must possess strong verbal and written communication skills * Ability to read and comprehend complex documents

We look forward to chatting with you! Associated topics: answer, call center associate, customer care representative, customer service associate, internship, platform support, representante de servicio al cliente, system support, telephone, tsr

Keywords: Health Help, Lake Charles , Medical Customer Service Representative - Remote (Iowa), Other , Iowa, Louisiana

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