Client Service Representative - Operations

Responsibilities: Conduct administrative and scripted clinical intake calls while providing high-quality customer service to providers and staff. Maintain detailed documentation and adhere to HIPAA, URAC, and NCQA standards to ensure compliance and operational efficiency.

Requirements: Requires a High School Diploma/GED and at least one year of healthcare call center experience. Candidates must have a HIPAA-compliant home workspace with specific minimum internet speeds and the ability to work a strict schedule.

Key skills: Customer Service, Clinical Intake, Data Entry, HIPAA Compliance, Medical Terminology, Time Management, Verbal Communication, Written Communication, MS Outlook, Windows Proficiency, Call Center Operations, Quality Management

Keywords: Healthcare, Call Center, HIPAA, URAC, NCQA, Clinical Review, CPT Codes, Prior Authorizations, Patient Care, KPI, Average Talk Time, Medical Terminology, Data Entry, Customer Satisfaction, Intelligent Operations