Job Description

Job Description

Job Description

Position 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.
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. This position is 9A to 5P in the office located at 1 Seaport Plaza, 199 Water St., 27th Floor, NY, NY, 10038.

• 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.

• 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.

• Healthcare that fits your needs - We offer excellent medical, dental, and vision plan options that provide coverage to employees and dependents.
• 401(k) with Employer Match - Join the team and we will invest in your future
• Generous Paid Time Off - Accrued PTO starting day one, plus additional days off when you’re not feeling well, to observe holidays.
• Wellness - We care about your well-being. From Commuter Benefits to FSAs we’ve got you covered.
• Learning & Development - Through continued education/mentorship on the job and our investment in LinkedIn Learning, we’re focused on your growth as a working professional.

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