Company Summary
At MedReview, our mission is to bring accuracy, accountability, and clinical excellence to healthcare.  As such, we are a leading authority in payment integrity solutions including DRG Validation, Cost Outlier and Readmission reviews.
Position Summary
Under the direction of the Customer Service Department leaders, the Customer Service Representative is responsible for responding to all customer inquiries. The Customer Service Representative will research inquiries and ensure feedback is provided in a timely manner.
Responsibilities :
This list does not represent all responsibilities for this position.  Candidate must understand and be willing and able to assume roles and responsibilities other than these to meet the needs of the Customer Service/Call Center Department and MedReview in general.
Take customer calls and reply to customer e-mails with accurate, satisfactory answers to their queries and concerns.
De-escalate situations involving dissatisfied customers, assistance, and support.
Review customer or client accounts and provide updates and information about claim audit status and other claim inquiries.
Verify contact information for requesting documents required for review and safeguarding client and member data in accordance with HIPAA regulations.
Guide callers through troubleshooting and navigating the company site/e-mail portal.
Collaborate with other call center professionals to improve customer service.
Transcribe phone calls.
Qualifications:
High school diploma or equivalent experience is required.
Experience assisting customers and providing resolutions.
Knowledge of HIPAA privacy information standards required.
Knowledge of DRG Validation Review, Cost Outlier Review and Readmission Review.
Knowledge of claim processing or claim auditing systems and call center software
Ability to prioritize and organize workload and complete tasks independently.
Strong quantitative and analytical problem-solving skills.
Demonstrates excellence in listening, written communication, and interpersonal skills.
Proficiency in Outlook, Word, Excel, and other applications.
Previous experience handling medical records is a plus.
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