What are the responsibilities and job description for the Client Service Representative - Operations position at WNS Global Services?
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 highquality 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 every three months required
Prior experience in a fastpaced inbound 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 fastpaced 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
Additional Information :
HealthHelp provides equal opportunities to all employees and applicants without regard to race color religion gender sexual orientation gender identity or expression national origin age disability genetic information marital status amnesty or status as a covered veteran in accordance with applicable federal state and local laws. If you need assistance in completing this application due to a disability please contact a member of the Talent Acquisition Group to request an accommodation or an alternative application process by emailing
Remote Work : Employment Type :
Fulltime
Key Skills
Bidding,Apprentice,Bricklayer,Airport,Jni,Airlines
Vacancy : 1