Customer Service Representative

1 week ago


San Francisco, California, United States MedRisk Full time
Job Summary

As a Customer Advocate at MedRisk, you will play a vital role in supporting communication between our network providers and referring adjusters and nurse case managers. Your primary responsibility will be to track patient progress from the start of treatment, throughout treatment, and through to closure by obtaining relevant case updates from providers.

Key Responsibilities:
  • Claims Management: Manage claims and monitor case status by confirming patient attendance with network providers, and addressing any concerns regarding compliance.
  • Case Updates: Properly update all case-related data to MedRisk's database/platform.
  • Authorization Tracking: Track and relay authorization to our providers as directed by the clients with confirmations to the adjuster and NCM.
  • Client Relationships: Build approachable, professional relationships with providers and referring customers.
  • Compliance: Ensure compliance with HIPAA and URAC guidelines.
Requirements:
  • Education: Bachelor's Degree preferred.
  • Experience: 2-3 years of experience in customer service or a related field.
  • Skills: Excellent verbal and written communication skills, ability to work independently and multitask in a fast-paced environment, detail-oriented, and basic knowledge of Microsoft Office.
What We Offer:
  • Remote and Hybrid Work Opportunities: Possibility for remote and hybrid work arrangements.
  • Competitive Benefits: Medical, dental, and vision insurance, company-paid life and disability insurance, flexible spending accounts, and a 401(k) plan with employer contribution.
  • Work-Life Balance: Generous paid time-off policies and an employee assistance program.


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