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SalaryWho We Are
We’re a group of talented, driven professionals who strive every day to improve the lives of our clients, our providers and the ultimate stakeholders – the injured workers. We offer an exciting workplace environment plus competitive salaries and benefits. What makes us stand out? It’s the people, the culture we foster and the opportunity to learn and to grow.
Job Summary
As a Customer Advocate, you will be supporting communication between MedRisk/SPNet’s network providers and referring adjusters and nurse case managers. You will report to the Customer Advocate Team Lead and/or Supervisor to help strengthen MedRisk/SPNet’s referral process, ensuring efficient workflow, while increasing customer satisfaction. Acting as liaison, the Customer Advocate tracks patient progress from the start of treatment, throughout treatment, and through to closure by obtaining relevant case updates from providers, including but not limited to dates of service, compliance, treatment notes, and continued authorization. They are responsible for maintaining the integrity of the case file and related documents and communicating professionally and effectively with the customer.
Primary Duties & Responsibilities
- Manage 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 MedRisk’s database/platform
- Track and relay authorization to our providers as directed by the clients with confirmations to the adjuster and NCM
- Be knowledgeable regarding the client’s unique needs and respond appropriately
- Build approachable, professional relationships with providers and referring customers.
- Compliance with HIPAA and URAC guidelines
- Employee is expected to work a minimum of 60 tasks daily
Qualifications
- Bachelor’s Degree preferred; impeccable customer service skills with 2-3 years of experience preferred
- Ability to work independently and multi task in a fast paced environment
- Detail oriented
- Excellent verbal & written communication skills
- Basic knowledge of Microsoft Word, Excel, Outlook and Zoom
- Computer skills in Windows environment
- Time management and strong organizational skills
- Adaptability
- Ability to receive constructive feedback
- Strong work ethic
Working Conditions & Physical Requirements
- Office & Home environment
- While mostly sedentary, the job includes walking, standing, sitting, possible twisting, kneeling
- Visual acuity (color, depth perception and field of vision)
- Substantial movements (motions) of the arms, wrists, hands, and/or fingers
- This position requires consistent communication both verbally and electronically. Candidate must be able to utilize exceptional verbal and written communication skills.
What We Offer
- Remote and Hybrid work opportunities
- Great work-life balance: Monday-Friday work schedule
- Medical, Dental and Vision insurance
- Company paid Life & Disability Insurance
- Flexible Spending Accounts
- 401(k) matching
- Generous paid time off policies: Holidays, PTO, plus 2 floating holidays
- Employee Assistance Programs
- Referral Programs
Disclaimer
The aforementioned statements are intended to describe the general nature and level of work to be performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of an incumbent.
