- 16945 Northchase Dr, Houston, TX 77060, USA
- Employees can work remotely
HealthHelp - A WNS Company (www.HealthHelp.com), is the leader in the field of healthcare utilization & care management. We have gained this position by actively working to change out-of-date practices with a collaborative, non-denial based approach. Our methodology helps payors achieve a higher return on investment, gives providers education programs that better inform physicians, and ensures quality and safety for the patients needing treatment.
HealthHelp’s innovative approach and strong IT capability in specialty benefits management means that staff will move healthcare forward when provided with evidence-based solutions and second opinions. HealthHelp's staff is comprised of healthcare professionals who make a difference every day. HealthHelp has a desire to fill their company with talented and innovative people who want a career path filled with success and personal growth.
Our specialty benefits management services are broad and include, Cardiology, Oncology, Radiology, Radiation Therapy, Sleep Care, and Musculoskeletal Care. HealthHelp has two locations in Houston, one a corporate office and the second a state-of-the art contact center. HealthHelp is also proud to have another such contact center in Albany, New York.
WNS Global Services Inc. (NYSE: WNS) is a global Business Process Management (BPM) leader. WNS offers business value to 400+global clients by combining operational excellence with deep domain expertise in key industry verticals, including Banking and Financial Services, Consulting and Professional Services, Healthcare, Insurance, Manufacturing, Retail and Consumer Packaged Goods, Shipping and Logistics, Telecommunications, Travel and Utilities. Globally, the group’s over 44,000+ Professionals serve across 60 delivery centers in 16 countries worldwide.
Conducts administrative intake and scripted clinical intake of calls for clinical review
Initiate outbound attempts to collect clinical information for procedures pending clinical review
Review and determines questionable STATs
Provide clinical feedback within the scope of their Medical Assistant Certification
Complete administrative and clinical tasks 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
Participates and understands scope of responsibility pertaining to ongoing Quality Initiative Projects
Maintains acceptable levels of performance for all Key Performance Indicators
Maintains written documentation according to HealthHelp’s documentation policy
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
MS Outlook and Windows proficiency
Extensive knowledge of CPT / ICD-10 Coding
A highly motivated individual that can work effectively, independently and meet deadlines in an atmosphere of multiple projects and shifting priorities
Possess effective analytical/problem solving skills
Ability to work in more than one computer program and screen simultaneously
Strong time management skills
Ability to adhere to strict schedule
Must possess strong interpersonal skills and a positive professional attitude
Highly skilled at delivering client and customer satisfaction
Must Possess strong verbal and written communication skills
Ability to read clinical terminology with high levels of proficiency
High School Diploma/GED required
Medical Assistant Certification required
All your information will be kept confidential according to EEO guidelines.