Job description

Client Service Representative (CSR)

Position Overview:

Ged Lawyers, LLP is a law firm headquartered in Boca Raton, FL, expanding into Massachusetts, with offices in Rehoboth & Middleton, MA. We specialize in PIP(personal injury protection), motor vehicle accidents, personal injury, wrongful death, property damage, estate planning, product liability and business interruption law.

The Customer Service Representative (CSR) position serves as the main point of contact for our Personal Injury Protection (PIP) clients. This is a specialized role requiring the ability to review paper, digital & remote patient medical files and the ability to build/maintain client (PIP medical provider) relationships. This role obtains PIP patient medical files from our 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.

Must have medical billing experience and be familiar with medical providers in the state. Must be able to travel throughout MA, as business requires.

Essential Job Functions

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 (AOB’s, EOB’s, patient ledgers & HCFA’s) 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 fee schedule and determine available benefits and/or if benefits are exhausted
Use of basic mathematical skills: Addition, Subtraction, Multiplication, and

Division

Knowledge of the difference between a policy number/claim number, what they represent, and how it affects the process
Identify problems and solve according to protocol
Ensure proper processing of Clients that require special criteria
Identify and escalate any client service challenges so they can work to resolution
Maintain and uphold the privacy, confidentiality and security of protected health information internal and external to the work environment for written, verbal and/or electronic communication in compliance with HIPPA Privacy Rule

Requirements

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 8:30‐5:30pm
Able to travel throughout MA, as business requires
80% of time will be spent at client offices; 20% of 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 timely manner
Self‐motivated and ability to work independently
Dress appropriately for professional office environments
Demonstrate professionalism with clients

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

NOTE: This job description is not intended to be all-inclusive. Employee may perform other related duties as negotiated to meet the ongoing needs of the organization.

Job Type: Full-time

Pay: $52,000.00 - $65,000.00 per year

Benefits:

401(k)
401(k) matching
Dental insurance
Flexible schedule
Health insurance
Paid time off
Parental leave
Vision insurance
Work from home

Ability to Relocate:

Waltham, MA: Relocate before starting work (Required)

Work Location: On the road

Job Type: Full-time

Benefits:

401(k)
401(k) matching
Dental insurance
Flexible schedule
Health insurance
On-the-job training
Paid time off
Parental leave
Professional development assistance
Referral program
Vision insurance

Shift:

8 hour shift
Day shift

People with a criminal record are encouraged to apply

Ability to Relocate:

Woburn, MA: Relocate before starting work (Required)

Work Location: On the road

Ged Lawyers, LLP jobs

Customer Service Representative (CSR)