Our client, a leading provider of managed physical medicine for the workers’ compensation industry and related market sectors, has an immediate need for Call Center Customer Service Representatives to join their team in King of Prussia, PA
**This is a great opportunity to get in with an Industry leader, and help those in the workers compensation process.
**Interviews and hiring decisions are happening immediately, don't miss this opportunity to get steady, meaningful work.
As a Customer Service Representative supporting the communication between our network Providers, referring adjusters and nurse case managers, you will report to the Customer Service Supervisor to help strengthen our referral process, ensuring efficient workflow, while increasing customer satisfaction. Acting as liaison, an Customer Service Representative tracks patient progress from the Initial Evaluation to closure by obtaining relevant case information from Providers, maintaining the integrity of the case file and related documents, and communicating professionally and effectively with the referring customer.
Manage multiple 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 in house database
Track and relay authorization to our providers as directed by the clients with confirmations to the adjuster and NCM
Be knowledgeable regarding the clients unique needs and respond appropriately
Build approachable, professional relationships with providers and referring customers.
Compliance with HIPAA and URAC guidelines
Qualities and Qualifications
Bachelor’s Degree required
Impeccable customer service skills, 2-3 years of experience preferred
Ability to multi task in a fast paced environment
Excellent communication skills
Knowledge of Microsoft Word and Excel
Computer skills in Windows environment
Time management and strong organizational skills