Medical Claims Customer Care Specialist

MEDLOGIX, LLC; Hamilton (NJ); On-site; USD 36,000 - 52,000; Full time

Job summary

Medlogix, LLC in Hamilton, NJ is seeking a Customer Service Associate to act as a liaison between clients and our team, handling incoming calls and information requests across multiple lines of business. Responsibilities include precertification inquiries, PPO network access, medical billing clarification, and processing of FROI data, with accurate call documentation and QA to meet SLA targets.

Two years of customer service experience and a High School Diploma are required; bilingual Spanish is

Qualifications

• High School Diploma required.
• Two plus years of Customer Service experience required.
• Bi-lingual Spanish a plus.

Responsibilities

• Interact in a professional manner with customers in a call center environment.
• Assist callers with inquiries pertaining to precertification services, PPO network access, medical bill repricing, and Workers’ Compensation First Report of Injury (FROI).
• Process claim demographic updates received from adjusters via electronic claim messaging system.
• Access various databases as necessary to obtain information to assist callers.
• Document all phone calls in call management database with details of call, outcome, and follow-up.

Skills

Customer service experience

Spanish language

Microsoft Office

Education

High School Diploma

Tools

Microsoft Office

Job description

Medlogix, LLC in Hamilton, NJ is seeking a Customer Service Associate to act as a liaison between clients and our team, handling incoming calls and information requests across multiple lines of business. Responsibilities include precertification inquiries, PPO network access, medical billing clarification, and processing of FROI data, with accurate call documentation and QA to meet SLA targets.

Two years of customer service experience and a High School Diploma are required; bilingual Spanish is