Job description
Position Summary
As a Customer Advocate, you will be supporting communication between MedRisk/SPNet’s network providers and referring adjusters and nurse case managers. You will report to the Customer Advocate Team Lead and/or Supervisor to help strengthen MedRisk/SPNet’s referral process, ensuring efficient workflow, while increasing customer satisfaction. Acting as liaison, the Customer Advocate tracks patient progress from the start of treatment, throughout treatment, and through to closure by obtaining relevant case updates from providers, including but not limited to dates of service, compliance, treatment notes, and continued authorization. They are responsible for maintaining the integrity of the case file and related documents and communicating professionally and effectively with the customer.
Primary Duties & Responsibilities
Level I:
- 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
Qualifications
Bachelor’s Degree preferred; impeccable customer service skills with 2-3 years of experience preferred- 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
- Strong work ethic
seankuhnke.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, seankuhnke.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, seankuhnke.com is the ideal place to find your next job.