Workers Compensation IME Customer Service Representative

New
United StatesFull-Time
Salary not disclosed
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Job Details

Required Skills
Customer serviceTime ManagementCritical thinkingData entry

Requirements

  • Associate’s Degree (preferred).
  • Business experience in a healthcare and/or insurance setting (preferred).
  • Exceptional communication skills.
  • Strong critical thinking and problem-solving abilities.
  • Ability to manage time efficiently and meet deadlines.
  • Computer literacy and typing skills.
  • Ability to supply and support own internet services.
  • Maintain an uninterrupted internet connection for work-from-home responsibilities.

Responsibilities

  • Intake new cases and review/verify information and requests.
  • Draft cases by entering information into the AccessDS system.
  • Work with clients to obtain any information missing pertinent to processing claims.
  • Assign and schedule new cases to physicians for review based on location, availability, guidelines, and jurisdictional requirements.
  • Verify that assigned physicians have no conflicts of interest.
  • Monitor, process, and track cases to ensure deadlines are met.
  • Update clients frequently on cases in progress.
  • Communicate regarding referral information to ensure proper documentation is provided to reviewers.
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