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Medical Review Customer Service Representative

2 months ago

Richmond, Virginia, United States Virginia Department of Human Resource Management Full time

Position: Customer Service Specialist (Medical Review Services)

Job Type: Full-Time (Salaried)

Location: Remote

Categories: Administrative Services, Health and Human Services

Overview:

The Virginia Department of Human Resource Management is seeking multiple Customer Service Specialists for the Medical Review Services Unit. In this role, you will be tasked with assessing and interpreting medical documentation while providing clear communication to clients regarding their medical review orders through various channels, including phone and written correspondence.

Your primary responsibility will be to assist clients in understanding the necessary documentation required for various medical evaluations, in accordance with applicable state and federal regulations.


Key Responsibilities:

  • Handle inquiries from various stakeholders, including customers, healthcare professionals, and legal representatives regarding the status and evaluation of medical cases, adhering to established policies and procedures.
  • Organize and index documents received via manual submissions to ensure accurate client records.
  • Maintain detailed notes in the client’s file within the designated system.
Initial training will be conducted in-person for the first two weeks, after which the position will transition to a fully remote work environment.


The Virginia Department of Human Resource Management is dedicated to serving a diverse clientele, including individuals and businesses, ensuring compliance with relevant laws and regulations.


Core Values: Trustworthiness, Respect, Accountability, Integrity, and Teamwork (TRAIT) are the foundation of our operations. We are committed to embodying these values in our daily work.


Minimum Qualifications:

  • Extensive knowledge of medical terminology.
  • Experience in a healthcare setting, with a focus on evaluating and communicating medical requirements.
  • Proven customer service experience.
  • Proficient in computer operations.
  • Ability to comprehend and adhere to policies and procedures.
  • Willingness to work overtime and on weekends as required.

Additional Considerations:

  • Current licensure or certification as a medical technologist, or relevant experience within the last five years.
  • Previous experience in a call center environment.

Application Process:

Applicants must submit an online application, including a comprehensive overview of their work experience and relevant skills. All candidates will undergo a background check as part of the hiring process.

In alignment with our commitment to diversity and inclusion, we encourage individuals with disabilities to apply.