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Boca Raton, Florida GENEX Services
Company Overview

Mitchell, Genex and Coventry

With Mitchell, Genex and Coventry now one organization, we've dramatically expanded our ability to deliver innovative services and technologies to our customers. We've also seen career opportunities within our combined organization grow. Each part of our organization helps people recover after a challenging event in their lives.

Mitchell delivers trusted software and services to the property & casualty claims, collision repair and risk management industries with technology-enabled solutions that simplify claims handling, repair processes and pharmacy transactions. Genex helps injured workers return to their jobs in a safe and efficient manner through compassionate case management, reducing health care costs and disability expenses for our customers. Coventry offers the nation's largest and most diverse set of provider and ancillary networks focused on improving total overall outcomes.

Together, we bring a complete set of proven capabilities for our partners who require more than one-dimensional solutions. We combine innovative technology, insightful analytics and deep expertise to help them reach their ultimate goal\u2014restoring lives.

Job Description
  • Delivers quality Customer Service from initial request for service until completion of end product
  • Contacts providers to request physician reports
  • Responsible for following workflow based on current queue statuses
  • Transcribes reports if necessary
  • Receive physician reports and forward to appropriate QA Specialist
  • Responds to client requests regarding report status
  • Follows up with physicians when needed to obtain clarification or appropriate responses to all issues requested
  • Adheres to client protocols and jurisdictional regulations including, logging, processing and progress inquiries
  • Submits end product (report) to the client as dictated by their protocol
  • Keeps Client apprised in regard to any delays or issues
  • Contacts appropriate agencies or persons for the purpose of verifying information
  • Handles incoming and outgoing calls effectively and efficiently meeting client standards/protocols
  • Communicates immediately with Supervisor of Operations with regard to any client concerns
  • Meets specific department metrics
  • Operates company software and equipment
  • Enters data by inputting alphabetic and numeric information into system via keyboard
  • Demonstrates strong organizational skills with the ability to multi-task without compromising extreme attention to detail
  • Communicates using correct English, spelling, grammar, and punctuation
  • Ability to understand and follow oral and written instructions while adhering to prescribed departmental routines
  • Proficiency with imaging/scanning documents
  • Maintains confidentiality and discretion as a general rule
  • Works effectively as a team contributor on all assignments
  • Interacts professionally with other employees as well as clients
  • Has a clear and concise understanding, and adheres to, guidelines as they relate to HIPAA, Conflict of Interest , and Ethics
  • Understands current URAC standards as appropriate to job functions
  • HS Diploma or equivalent
  • Proficient with MS Office Suite
  • Excellent communication skills-verbal and written
  • Ability to organize and prioritize work effectively
  • Ability to accept and apply constructive feedback

Physical requirements

  • Ability to remain in a stationary position for long periods of time
  • Ability to speak and hear
  • Manual dexterity sufficient to operate a computer keyboard and calculator
  • The employee may be required to walk
  • The ability to see details at close range (within a few feet of the observer)
Benefits We're committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and self. These offerings include Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a lifetime of healthier living. The Company is an equal opportunity employer, values the diversity of our workforce and the knowledge of our people. The Company does not discriminate against an applicant or employee on the basis of race, color, religion, national origin, ancestry, sex/gender, age, physical or mental disability, military or veteran status, genetic information, sexual orientation, gender identity, gender expression, marital status, or any other characteristic protected by applicable federal, state or local law. #LI-ALLEXIS