客户服务代表 - 运营
Client Service Representative - Operations
- 执行临床审核的行政接待和脚本化临床接待电话
- • 通过与提供者、行政人员和其他人员的互动提供高质量的客户服务
- • 建立并维护客户对产品和服务的满意度;为内部和外部客户提供优质服务
- • 收集并输入机密信息,确保所有领域的最高保密级别
- • 在收集和执行数据录入功能时保持高质量的文档标准
- • 为提供者和办公室员工提供与HealthHelp临床审核流程相关的持续电话支持
- • 如有需要,为临床审核部门提供行政支持
- • 参与并理解与持续质量改进项目相关的职责范围
- • 保持所有关键绩效指标(如平均通话时间(ATT)、质量)的可接受水平,并遵守排班要求
- • 按要求参与HealthHelp质量管理体系
- • 遵守与临床项目相关的所有HIPAA、州和联邦法规
- • 遵守URAC和NCQA标准,符合HealthHelp的合规计划
- • 执行分配的其他项目和职责
- 需要高中文凭/GED
- 需要至少一年的医疗客户服务(呼叫中心)经验
- • 需要能够将硬线互联网接入提供的计算机设备
- • 需要5 Mbps的上传速度和25 Mbps的下载速度(在入职时验证)
- • 需要能够严格遵守日程安排,并能适应日程变化,因为日程可能会发生变化
- • 优先考虑在快节奏的呼入呼叫中心环境中的经验
- • 需要符合HIPAA的房间(在入职时验证)
- • 优先考虑医疗行业经验(例如,先前授权、患者护理、CPT代码等)
- • 能够熟练阅读临床术语
- • 能够在快节奏、高来电量、以业绩为导向的客服中心高效工作
- 熟练使用MS Outlook和Windows
- 能够使用双显示器并同时操作多个软件应用
- • 具备良好的时间管理能力
- • 高度擅长提供客户和客户满意度
- • 必须具备较强的口头和书面沟通能力
身体要求
- 能佩戴耳机8小时
查看英文原文
- 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
• 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
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
Compensation Disclosure
The base salary for this position is $33,280 (16/hr) annually. This represents the base pay range that we reasonably expect to offer for this position.
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 .
WNS, part of Capgemini, is an Agentic AI-powered leader in intelligent operations and transformation, serving more than 700 clients across 10 industries, including Banking and Financial Services, Healthcare, Insurance, Shipping and Logistics, and Travel and Hospitality. We bring together deep domain excellence - WNS’ core differentiator - with AI-powered platforms and analytics to help businesses innovate, scale, adapt and build resilience in a world defined by disruption. Our purpose is clear: to enable lasting business value by designing intelligent, human-led solutions that deliver sustainable outcomes and a differentiated impact. With three global headquarters across four continents, operations in 13 countries, 65 delivery centers and more than 66,000 employees, WNS combines scale, expertise and execution to create meaningful, measurable impact.
Originally posted on Himalayas