Customer Advocate Level I

MedRisk • US,

12d

About The Position

As a Customer Advocate, you support communication between MedRisk/SPNet network providers and referring adjusters and nurse case managers. You report to the Customer Advocate Team Lead and/or Supervisor and help strengthen the referral process, maintain efficient workflow, and increase customer satisfaction. As a liaison, you track patient progress from the start of treatment through closure by obtaining relevant updates from providers, including dates of service, compliance, treatment notes, and continued authorization. You maintain the integrity of case files and related documents and communicate professionally and effectively with customers.

Requirements

• Healthcare experience is required; a minimum of one year is preferred.
• Ability to work independently and multitask in a fast-paced environment.
• Detail-oriented.
• Excellent verbal and written communication skills.
• Basic knowledge of Microsoft Word, Excel, Outlook, and Zoom.
• Computer skills in a Windows environment.
• Time-management and strong organizational skills.
• Adaptability.
• Ability to receive constructive feedback.
• Strong work ethic.

Nice To Haves

• Bachelor’s degree preferred.
• Impeccable customer service skills.
• Two to three years of experience preferred.

Responsibilities

• Manage claims and monitor case status by confirming patient attendance with network providers and addressing compliance concerns.
• Update all case-related data in MedRisk’s database/platform.
• Track and relay authorization to providers as directed by clients, with confirmations to the adjuster and nurse case manager.
• Understand each client’s unique needs and respond appropriately.
• Build approachable, professional relationships with providers and referring customers.
• Comply with HIPAA and URAC guidelines.
• Complete a minimum of 48 tasks daily.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed