Customer Advocate Level I

As a Customer Advocate, you will act as a liaison between MedRisk/SPNet’s network providers and referring adjusters and nurse case managers to strengthen the referral process and improve customer satisfaction. You will track patient progress from the start of treatment through closure by obtaining case updates (dates of service, compliance, treatment notes, continued authorization), maintain the integrity of the case file, and communicate professionally with customers. Level I duties include managing claims and monitoring case status, updating case data in MedRisk’s database/platform, relaying authorizations to providers with confirmations to the adjuster and NCM, understanding the client’s needs, building professional relationships with providers and customers, complying with HIPAA and URAC guidelines, and handling a high volume of tasks daily. The role requires healthcare experience, strong customer service skills, independent multitasking ability, attention to detail, and proficiency with Microsoft Word, Excel, Outlook, and Zoom, all within a fast-paced environment.