Customer Service Professional - Legal

Description: Job Summary Manage client legal requests and other administrative projects in accordance with client requirements, company standards, and compliance regulations.
Major Responsibilities/Activities Prepare & process all requests for attorneys requested through ChartSwap and EMSafe Chartswap reconciliation to ensure response of all attorney requests Act as the liaison between attorney’s, client’s, BPO and internal EMS|MC teams Complete new client deployment set up in Chartswap Maintain a 24-48-hour turnaround time with all communication Create and run client specific reports using Rescue Net Reporting and MS Excel to help maintain turnaround time Ensure coordination of denials, refunds, and outstanding insurance payments with appropriate internal department.
Answer phone calls quickly and in a pleasant, professional manner Diffuse escalated attorney phone calls Meet client deliverables Provide feedback to the Client Relations Group ensuring client specification documents are updated with the most current process for each client.
Ensure all standard operating procedures are up to date, placed in a shared location and changes are communicated when necessary.
Notify management of trends and defects along with suggestions for improvement Assist in all functions of Customer Service as needed Complete all other tasks and projects assigned by management Maintain continuous focus on improving processes within the parameters of existing practices and procedures with an attitude of continuous improvement Consistently support and demonstrate the company mission and values Conduct all job tasks, duties, phone calls, and interactions with professionalism, respect, a positive attitude, and in accordance with company compliance policies and applicable government regulations Other Responsibilities/Activities Provide documents/invoices (when applicable) to requester Place or print Client requests using the FTP server Assist with special projects related to billing operations, government regulations, etc.
May include but not limited to high volume claim correction, data entry or phone calls Provide administrative support as directed Perform other necessary tasks as assigned by supervisor Quality & Productivity Requirements Maintain required turnaround time as dictated by process or client Maintain Customer Service call audit score of 98% Requirements: Required Education, Skills, & Experience High School Diploma Understanding of Medicare, Medicaid, commercial, and patient reimbursement/billing, and HIPAA Strong, effective, and professional written and verbal communication skills.
Must be able to apply these skills with individuals from diverse backgrounds both internal & external to the company.
Ability to collaborate effectively with multi-departmental and diverse teams to achieve results.
This includes the application of an appropriate balance of assertiveness and professionalism to drive processes to completion.
Strong, accurate typing and data entry skills Ability to learn, understand, and work within specific client requirements Highly organized with ability to be proactive, manage time, and prioritize work with little supervision Ability to function well within a cross-functional team setting and independently Willing and able to adapt to changes in work environment, procedures, priorities, schedule, and job duties Detail-oriented Preferred Education, Skills, & Experience Previous medical billing and/or accounts receivable experience HIPAA certification Strong MS Office skills with the ability to manipulate data and create formulas in Excel Working Environment/Physical Requirements General office environment Frequent telephone use Frequent typing Sitting for long periods of time, some standing Use of basic office equipment such as computer, fax, printer, copier