Customer Service Representative
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Overview
Schedule
Full-time
Career level
Senior-level
Remote
On-site
Compensation
$24+/hour
Benefits
Health Insurance
Dental Insurance
Vision Insurance
Job Description
Position SummaryAt MedReview, our mission is to bring accuracy, accountability, and clinical excellence to healthcare. As a leader in payment integrity solutions, we provide DRG Validation, Cost Outlier, and Readmission Review services to healthcare clients nationwide.Under the direction of Customer Service leadership, the Customer Service Representative is responsible for responding to customer inquiries, researching and resolving issues, supporting medical record retrieval activities, and ensuring a high level of service to clients, providers, and members. This position requires strong communication skills, attention to detail, and the ability to effectively manage multiple priorities while maintaining HIPAA compliance.Location: One Seaport Plaza, 199 Water Street, 27th Floor, New York, NY 10038Schedule: Monday – Friday, 9:00 AM – 5:00 PMPrimary Responsibilities
- Answer incoming customer calls and respond to email inquiries in a professional, accurate, and timely manner.
- Research customer concerns and provide appropriate information and resolution.
- De-escalate customer issues and coordinate with internal departments as needed.
- Review customer and client accounts and provide updates regarding claim audits, review statuses, and related inquiries.
- Conduct outbound calls to providers to request medical records and supporting documentation required for review.
- Verify provider contact information and ensure proper handling of confidential and protected information.
- Assist users with navigating company websites, portals, and communication platforms.
- Document customer interactions and maintain accurate records within company systems.
- Transcribe and enter call-related information as required.
- Collaborate with internal teams to improve customer service and operational efficiency.
- Maintain compliance with HIPAA and all company privacy and security requirements.
- Perform additional projects and duties as assigned.
- High school diploma or equivalent required.
- Customer service, call center, healthcare administration, or related experience preferred.
- Previous experience handling medical records required.
- Knowledge of HIPAA privacy and security requirements.
- Familiarity with healthcare claims processing, claim auditing, DRG Validation, Cost Outlier Reviews, and Readmission Reviews preferred.
- Proficiency with Microsoft Office applications, including Outlook, Word, and Excel.
- Strong verbal, written, interpersonal, and customer service skills.
- Excellent problem-solving, organizational, and time management abilities with the ability to manage multiple priorities independently.
- Ability to maintain professionalism, confidentiality, and attention to detail in a fast-paced environment.
- Ability to remain seated for extended periods and perform frequent computer, telephone, and data-entry tasks in an office environment.
- Medical, Dental, and Vision Insurance
- 401(k) Retirement Plan
- Life and Disability Insurance
- Paid Time Off and Company Holidays
- Flexible Spending Accounts (FSA)
- Employee Assistance Program (EAP)
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FAQs About Customer Service Representative Jobs at MedReview
What is the work location for this position at MedReview?
This job at MedReview is located in New York, NY, according to the details provided by the employer. Some roles may also include multiple work locations depending on the requirement.
What pay range can candidates expect for this role at MedReview?
Candidates can expect a pay range of $24.1 (per hour).
What employment applies to this position at MedReview?
MedReview lists this role as a Full-time position.
What experience level is required for this role at MedReview?
MedReview is looking for a candidate with "Senior-level" experience level.
What benefits are offered by MedReview for this role?
MedReview offers following benefits: Health Insurance, Dental Insurance, Vision Insurance, Disability Insurance, Life Insurance, Paid Holidays, Paid Vacation, 401k Matching/Retirement Savings, and Health & Wellness Programs for this position. Actual benefits may vary depending on the employer's policies and employment terms.
What is the process to apply for this position at MedReview?
You can apply for this role at MedReview either through Sonara's automated application system, which helps you submit applications 10X faster with minimal effort, or by applying manually using the direct link on the job page.