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Clinical Health Service Representative Ohio remote

AT NTT DATA Services
NTT DATA Services

Clinical Health Service Representative Ohio remote

Remote

Clinical Health Service Representative

Monday - Friday 8:00 am 5 pm EST
Must Reside in the State of OHIO. Will work from home in OHIO.
US Authorized, W2
***Temporary position

Position Summary:
Utilizes Healthcare systems to build, research and enter member information as needed.
Follows management-established procedures to execute routine business support tasks for core Inbound and Outbound communications functions, under general supervision.
Develops effective relationships with all team members to effectively progress daily communications to resolve issues and prevent delays in service or responses.

Duties:

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-Handles Inbound and Outbound tasks in a manner that operates in full compliance with patient confidentiality policies and regulations.
-Maintains accurate and complete documentation of member health information to minimize risk management, while adhering to all regulatory, and accreditation requirements.
-Escalates more complex customer/member inbound inquiries to management for more thorough follow-up and resolution.
-Takes management direction to properly execute techniques, processes, and responsibilities according to established work area policies and procedures.
-Documents all Inbound and Outbound details into the company database to ensure full collection of customer/patient needs and requirements.
-Promotes communication, both internally and externally to enhance effectiveness of medical management services (e.g., health care providers, and health care team members respectively).

Duties:
Utilizes Healthcare systems to build, research and enter member information as needed.
Follows management-established procedures to execute routine business support tasks for core Inbound and Outbound communications functions, under general supervision.
Develops effective relationships with all team members to effectively progress daily communications to resolve issues and prevent delays in service or responses.
Handles Inbound and Outbound tasks in a manner that operates in full compliance with patient confidentiality policies and regulations.
Maintains accurate and complete documentation of member health information to minimize risk management, while adhering to all regulatory, and accreditation requirements.
Escalates more complex customer/member inbound inquiries to management for more thorough follow-up and resolution.
Takes management direction to properly execute techniques, processes, and responsibilities according to established work area policies and procedures.
Documents all Inbound and Outbound details into the company database to ensure full collection of customer/patient needs and requirements.
Promotes communication, both internally and externally to enhance effectiveness of medical management services (e.g., health care providers, and health care team members respectively).

Minimum Job Qualifications:
-2-4 years' experience as a medical assistant, office assistant or other clinical experience.

Preferred Qualifications:
-Effective communication, telephonic and organization skills.
-Familiarity with basic medical terminology and concepts used in care management.
-Strong customer service skills to coordinate service delivery including attention to customers, sensitivity to issues, proactive identification and resolution of issues to promote positive outcomes for members.
-Demonstrated proficiency with personal computers, keyboard and multi-system navigation, and MS Office Suite applications (Outlook, Word, Excel, SharePoint, etc.)
-Ability to effectively participate in a multi-disciplinary team including internal and external participants.

Education:
High School Diploma or G.E.D. Required.
About NTT Data Services:

NTT DATA Services is a recognized leader in IT and business services, including cloud, data and applications, headquartered in Texas. As part of NTT DATA, a $30 billion trusted global innovator with a combined global reach of over 80 countries, we help clients transform through business and technology consulting, industry and digital solutions, applications development and management, managed edge-to-cloud infrastructure services, BPO, systems integration and global data centers. We are committed to our clients' long-term success. Visit nttdata.com or LinkedIn to learn more.

NTT DATA Services is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team.

Job ID: NTT_DATA-24-02851
Employment Type: Other