Customer Advocate handling communication between MedRisk's network providers and referring adjusters. Monitoring claims and ensuring efficient workflow while enhancing customer satisfaction.
Responsibilities
Manage claims and monitor case status by confirming patient attendance with network providers, and addressing any concerns regarding compliance
Properly update all case related data to MedRisk’s database/platform
Track and relay authorization to our providers as directed by the clients with confirmations to the adjuster and NCM
Be knowledgeable regarding the client’s unique needs and respond appropriately
Build approachable, professional relationships with providers and referring customers.
Compliance with HIPAA and URAC guidelines
Employee is expected to work a minimum of 60 tasks daily.
Requirements
Bachelor’s Degree preferred; impeccable customer service skills with 2-3 years of experience preferred
Healthcare experience required; minimum of 1 year preferred
Experience working with a US company (PH specific)
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
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