Customer Service Representative
1 week ago
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.
- Education: Bachelor's Degree preferred.
- Experience: Impeccable customer service skills with 2-3 years of experience preferred.
- Skills: Ability to work independently and multi-task in a fast-paced environment, detail-oriented, excellent verbal & written communication skills, basic knowledge of Microsoft Word, Excel, Outlook, and Zoom, computer skills in Windows environment, time management and strong organizational skills, adaptability, ability to receive constructive feedback, and a strong work ethic.
- Work Environment: Office & Home environment.
- Physical Requirements: While mostly sedentary, the job includes walking, standing, sitting, possible twisting, kneeling, visual acuity (color, depth perception, and field of vision), and substantial movements (motions) of the arms, wrists, hands, and/or fingers.
- Remote and Hybrid Work Opportunities: Possibility for remote and hybrid work opportunities.
- Great Work-Life Balance: Great work-life balance.
- Benefits: Medical, Dental, and Vision insurance, Company-paid Life & Disability Insurance, Flexible Spending Accounts, 401(k) with employer contribution, Generous Paid Time-Off policies, Employee Assistance Program, and Referral Program.
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