Handle and respond promptly to inquiries from clients and/or anyone acting on behalf of the client regarding questions, report status, concerns, or general requests for information.
Utilize appropriate systems and databases to enter client or claimant information and or retrieve information.
Maintain daily contact with the QA department regarding workflow and pending report status.
Contact providers for assignment and update database.
File and archive open and closed cases.
Verify all client information is current in the database and all client specific guidelines and or rules or information is documented in the system.
Work independently and in partnership with other team members to ensure that questions are addressed, documented and cases are returned in a timely fashion.
Direct calls to other departments as needed.
Perform various clerical duties such as typing, filing, emailing, and proofreading.
Assist in resolution of customer complaints and quality assurance issue.
Notify management of any report issues or concerns.
Ensure all practices are carried out in accordance with state and federal safety and legal regulations.
Perform other duties as assigned.
Requirements
High school diploma or equivalent required
Minimum one-year clerical experience; or equivalent combination of education and experience preferred
Paralegal experience
Complete knowledge of general computer, fax, copier, scanner, and telephone
Knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet
Ability to adhere to HIPAA regulations and compliance standards
Qualified typist with a minimum of 40 W.P.M.
Ability to follow instructions and respond to management’s directions accurately
Must demonstrate accuracy, thoroughness, and responsibility for quality of work
Ability to manage change, delays, or unexpected events appropriately