• 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 • 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
Required Skills
Required Experience