IRU Representative

Patient Support Representative

Performs telephonic and administrative support involving patients with concerns or complaints. Acts as a liaison between patients and providers to avoid grievances or assist patient with the initial grievance process if an immediate resolution cannot be achieved. Promotes patient satisfaction and resolution of patient concerns.

Responsibilities

• Provide telephonic assistance to patients / members regarding concerns and or grievances.
• Responsible for monitoring and processing communications such as incoming emails, online grievance submissions and faxes from patients, provider office staff and internal departments regarding patient / member concerns.
• Logging of Exempt (pre) Grievance and either resolution or referral to 30 day Grievance process.
• Email template letter processing to patients.
• Process account adjustments in accordance with established guidelines.
• Assist IRU Manager or Department Management with various duties.
• Meet required deadlines.

Qualifications

Experience Requirement

Necessary Skill Sets

The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or requirements.