Customer Service Ops Support Specialist

Job not on LinkedIn

🔥 0 minutes ago

🏖️ New Jersey – Remote

🏖️ New Jersey – Remote

💵 $0 - $16 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

💝 Customer Support

🚫👨‍🎓 No degree required

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• Just posted.
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Medlogix

WebsiteLinkedInAll Job Openings

201 - 500 employees

🏥 Healthcare

💼 Consulting

📦 Logistics

💰 Private Equity Round on 2017-06

Healthcare • Consulting • Logistics

Medlogix is a company that specializes in providing comprehensive medical services, including workers' compensation, auto medical services, and group health services. They offer online referral systems and eBilling solutions to streamline the management of medical claims. With a focus on technology, Medlogix employs innovative platforms like MyMedlogix™ and MedlogixU™ to enhance their services and ensure exceptional client experiences.

📋 Description

• Process EOB requests in the Document Manager Inbox • Complete outgoing calls to billing providers to request bills and medical records • Handle claim messages for all carriers • Maintain and address CSBilling and CSIntake mailbox inquiries daily • Distribute daily workers’ compensation hospital notifications • Complete the daily FROI report and send it to WCMC by 2 p.m. • Research and distribute Requests for Precertification (RFP Inbox) • Process Allstate NIS/Precert requests • Enter and distribute FROIs as assigned • Enter new intake/referrals into the system • Advise the Customer Services/Intake Supervisor of activities and problematic issues • Use department trackers to monitor daily production • Log in as a new login to CCS as a backup phone agent • Provide backup FROI mailbox distribution and Q&A • Process updates to the PE List and Employer Manager • Maintain the FROI Right Fax address book • Assist with training • Complete other tasks assigned by the Customer Service/Intake Supervisor

🎯 Requirements

• High School Diploma required • Minimum of two years Customer Service experience required • College Diploma or Certified Course Work preferred • Managed Care, Health Care, Doctors’ office/facility experience preferred • Knowledge of daily customer service operations and principles • Knowledge of corporate and departmental policies and procedures • Working knowledge of pre-cert, worker’s comp, group health, PPO lookup, and Bill Review process • Knowledge of insurance carrier plans • Knowledge of administrative and clerical procedures and systems • Knowledge of English language structure, spelling, composition, and grammar • Knowledge of computer hardware and software • Knowledge of medical coding, including CPT, ICD-9, and HCPCS codes • Knowledge of office equipment, including telephone, computer, fax machine, copy machine, printer, scanner, and calculator • Bilingual Spanish highly preferred • Moderate analytical skills • Excellent communication skills • Excellent computer/data entry skills

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