Client Service Representative (Healthcare)

TL;DR

Client Service Representative (Healthcare): Conducting administrative and scripted clinical intake of calls for clinical review with an accent on customer service and data accuracy. Focus on maintaining high-quality documentation and ensuring strict adherence to HIPAA and healthcare compliance standards.

Location: Must be based in Houston, TX, USA. Role requires a HIPAA compliant room and a hard-line internet connection.

Salary: $33,280 annually

Company

hirify.global, part of Capgemini, is an AI-powered leader in intelligent operations and transformation serving over 700 clients across various industries, including healthcare and banking.

What you will do

• Conduct administrative and scripted clinical intake calls for clinical review.
• Provide high-quality customer service to healthcare providers and administrative staff.
• Collect and enter confidential information while ensuring the highest level of confidentiality.
• Maintain rigorous documentation standards for all data entry functions.
• Provide telephonic support to providers regarding the Clinical Review process.
• Ensure strict adherence to HIPAA, URAC, and NCQA compliance standards.

Requirements

• High School Diploma or GED.
• Minimum 1 year of healthcare customer service experience in a call center environment.
• Must have a hard-line internet connection (min 5 mbps upload / 25 mbps download).
• Must possess a dedicated HIPAA compliant room for work.
• Ability to adhere to a strict schedule and work in a fast-paced, high-volume environment.
• Proficiency in MS Outlook, Windows, and the ability to navigate multiple software applications on dual monitors.

Nice to have

• Prior experience in a fast-paced in-bound call center.
• Knowledge of prior authorizations, patient care, or CPT codes.

Culture & Benefits

• Comprehensive medical, dental, and vision insurance.
• Paid time off (PTO), holidays, and sick leave.
• 401(k) retirement plan with company match.
• Life and AD&D Insurance.
• Employee Assistance Program.