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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates proficiency in Healthcare Customer Service within a fast-paced call center environment, adhering to HIPAA regulations and maintaining high-quality documentation standards. Capable of efficiently managing multiple software applications while providing telephonic support and ensuring customer satisfaction.
Highest-signal resume keywords
Healthcare Customer Service ExperienceHIPAA ComplianceMS Outlook ProficiencyStrong Verbal Communication SkillsTime Management Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Data EntryClinical Terminology ProficiencyPerformance Metrics AdherenceConfidential Information HandlingCall Center Operations
Soft Skills
Customer Satisfaction FocusAdaptability to Schedule ChangesStrong Written Communication SkillsAbility to Work Under PressureQuick Response to Instructions
Tools & Technologies
Windows Operating SystemDual Monitors SetupTelephonic Support Systems
Certifications & Qualifications
High School Diploma/GED
Industry Keywords
HIPAAURAC StandardsNCQA StandardsQuality Management ProgramQuality Initiative Projects
About the role
Key responsibilities & impact- Conduct administrative intake and scripted clinical intake of calls for clinical review
- Provide quality customer service to providers, administrative staff, and other customers
- Build and maintain customer satisfaction with products and services
- Collect and enter confidential information while maintaining confidentiality
- Maintain high-quality documentation standards during data entry
- Provide ongoing telephonic support to providers and office staff for HealthHelp’s Clinical Review process
- Provide administrative support to the Clinical Review Department as needed
- Participate in Quality Initiative Projects and the HealthHelp Quality Management Program
- Maintain performance levels for KPIs including Average Talk Time, Quality, and schedule adherence
- Adhere to HIPAA, state and federal regulations, and URAC and NCQA standards
- Carry out other assigned projects and responsibilities
Requirements
What you’ll need- 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 and adapt to schedule changes, required
- HIPAA compliant room, required (verified at onboarding)
- 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
- Strong verbal and written communication skills
- 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
- Prior experience in a fast-paced inbound call center environment, preferred
- Prior experience in the healthcare industry, preferred
Benefits
Comp & perks- 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
- Performance-based bonuses, incentive pay, or commissions may be available
