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Customer Service Representative (CSR)

Company: WizeHire
Location: Boston
Posted on: May 28, 2023

Job Description:

Ged Lawyers

The Customer Service Representative (CSR) position serves as the main point of contact for our Personal Injury Protection (PIP) clients in Massachusetts. This is a specialized role requiring the ability to review paper, digital & virtual patient medical files and the ability to build/maintain client (PIP medical provider) relationships. This role obtains PIP patient medical files from clients/medical providers, and all the required data necessary to create and assist the PIP litigation process. This position requires current and past medical office experience, great customer service skills, attention to detail, excellent written/verbal communication, and exceptional organizational skills.

The company provides a wide range of benefits including medical, vision, and dental insurance, life insurance, short and long-term disability, 401(k) matching plans, holidays and paid time off.

This is an on-site position, we are only accepting local candidates.


Essential Job Functions:

  • Must live in Massachusetts
  • Onboard and service new and existing clients (PIP medical providers)
  • Responsible for building and maintaining client relationships
  • Efficiently review client patient files in a strategic manner, every 45 days
  • Verify, scan & upload pertinent medical documents (AOBs, EOBs, patient ledgers & HCFAs) needed to send a demand letter to the insurance carrier
  • Meet annual KPI goals (client case volume & client reviews)
  • Follow up and obtain all information needed for rejected patient files
  • Understand and decipher insurance policy language
  • Ability to determine available insurance benefits and/or if benefits are exhausted
  • Demonstrate ability to establish collaborative client relationships to retain their business, loyalty and obtain referrals
  • Navigate Ged Lawyers client financial portal and print reports prior to client visits
  • Understand the use of CPT codes, ICD 9/10 codes, modifiers, denial codes, and fee schedules (Medicare/Workers' Compensation)
  • Calculate payments of claims according to the fee schedule and determine available benefits and/or if benefits are exhausted
  • Use of basic mathematical skills
  • Knowledge of the difference between a policy number/claim number, what they represent, and how it affects the process
  • Identify problems and solve them according to the protocol
  • Ensure proper processing of Clients that require special criteria
  • Identify and escalate any client service challenges so they can work to resolution Qualifications
    • Must live in Massachusetts. Must have medical billing experience and be familiar with medical providers in the state. Must be able to travel throughout MA, as business requires.
    • Ability to travel (up to 2 hrs one way) M-F to client offices (in and around both the Boston, MA area, during client core office hours of 8:30-5:30 pm
    • Able to travel throughout MA, as business requires
    • 80% of the time will be spent at client offices; 20% of the time will be spent working from home or in either the Rehoboth or Middleton, MA offices
    • Familiarity with medical billing software, such as ChiroTouch, eClinical Works, etc
    • Medical coding/billing experience preferred
    • Digitally oriented, with proficient computer skills
    • Ability to learn & utilize Ged Lawyers LLC proprietary client software
    • Scan, Import, and create file folders, digitally
    • Ability to track daily/weekly measured productivity
    • Organizational skills, with special attention to detail
    • Excellent written & verbal communication (including email, phone, and in-person)
    • Excellent time management skills
    • Ability to meet monthly/annual individual and team goals
    • Proficient with Microsoft Office (Word, Excel, Outlook)
    • Experience with Adobe Reader/Acrobat
    • Experience with Flash Drive Usage
    • Ability to meet deadlines and respond to requests in a timely manner
    • Self-motivated and able to work independently
    • Demonstrate professionalism with clients


      $48,000 - $60,000

      About Ged Lawyers

      Throughout the United States, Ged Lawyers and its dedicated staff of professionals help victims of personal injury and natural disaster recover compensation for harm caused by negligence, misconduct, or an insurance company's unreasonable behavior. As a full-service law firm, we are here for our clients and their legal needs, with proficiency in a broad range of fields.

Keywords: WizeHire, Boston , Customer Service Representative (CSR), Hospitality & Tourism , Boston, Massachusetts

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