Medical Support Representative
2 days ago
The Customer Service Associate is responsible for delivering exceptional client experience to multiple-state medical providers. This role requires a deep understanding of company software systems, including StrataWare and CompIQ.
Main Responsibilities:
- Provide prompt, courteous, and accurate customer service for all calls, with a solid grasp of workers' compensation guidelines.
- Proficient knowledge of StrataWare/CompIQ, Call Track, and any proprietary client software.
- Understanding of state regulations and rulings as they relate to Workers' Compensation.
- Understanding of medical bill processing rules and guidelines, including reading Bill Review Logs.
- Perform administrative tasks such as managing faxes, resubmitting bills, updating spreadsheets, retrieving phone messages, and responding to emails within 24 hours, etc.
- Process medical bills, coding, or data entry with 98% accuracy during phone downtime or as assigned.
Required Qualifications:
- Bachelor's degree in healthcare or business, or equivalent experience.
- Minimum one year of customer service experience (voice).
- Able to learn ICD-9/ICD-10 and CPT/HCOC coding.
- Able to use Microsoft Windows-based software.
- Able to learn basic medical terminology.
- Excellent oral and written English skills.
- Able to assess and document reconsideration issues based on the caller's issue.
- Able to work effectively in a team environment.
Desired Qualifications:
- Two years of experience in Workers' Compensation.
- Two years of experience in a medical setting.
- Six months of experience in the Bill Review Department.
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