Customer Service Associate
About The Position
Medlogix, LLC delivers innovative medical claims solutions through a seamless collaboration of our Medlogix® technology, our highly skilled staff, access to our premier health care provider networks, and our commitment to keeping our clients’ needs as our top priority. Medlogix has a powerful mix of medical expertise, proven processes and innovative technology that delivers a more efficient, disciplined insurance claims process. The result is lower expenses and increased productivity for the auto insurance and workers’ compensation insurance carriers; third party administrators (TPAs); and government entities we serve. The Customer Service Associate will serve as a liaison between Medlogix and our customers which include: insurance carriers, employers, medical providers, insureds, and colleagues. The Medlogix Customer Service Representatives are responsible for the answering of incoming calls through multiple phone queues, addressing callers, inquiries for multiple lines of business and services, FROI input and distribution, Auto intake/ Medlogix's system updates, processing of Precertification discrepancies, as well as various other tasks.
Requirements
- High School Diploma required
- Two plus years of Customer Service experience Required
- Excellent Communication Skills
- Excellent Computer Skills
- Accurate typing, computation skills, and proficient in Microsoft Office applications
- Ability to work professionally with colleagues and perform as a team-player
- Ability to show initiative: demonstrate a “self-starter” behavior and a willingness to help others
Nice To Haves
- NJ/Auto/ PIP insurance knowledge
- Provider/ Hospital medical billing knowledge a plus
- Bi-lingual a plus
- Bi-lingual Spanish a plus
- College Diploma Preferred
Responsibilities
- Interact in a professional manner with customers, both internal and external, in a call center environment
- Assist callers with inquiries pertaining to precertification services, PPO network access, medical bill repricing, and Workers’ Compensation First Report of Injury (FROI)
- Perform claim intake processes including dissemination of information to multiple parties
- Process claim demographic updates received from adjusters via electronic claim messaging system
- Access various databases as necessary to obtain information to assist callers
- Communicate/interact with other Medlogix departments to address inquiries and matters requiring resolution
- Handle calls of a more complex or urgent nature
- Document all phone calls in call management database, to include details of the nature of call, outcome, and follow-up required
- Meet individual and team goals to achieve required service level agreements
- Perform QA protocols as necessary to ensure SLA’s are achieve
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
