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Communication Center Representative
Virtix HealthCustomer Support Representative at Virtix Health managing WISeR workflows and providing customer service. Collaborating with internal teams and adhering to HIPAA regulations in a hybrid role.
About the role
Key responsibilities & impact- Respond to inbound inquiries via phone, email, portal, and fax regarding WISeR cases and prior authorization requests.
- Provide clear, courteous updates on case status, next steps, and estimated turnaround times.
- Educate customers on submission options (portal, fax, alternate workflows) to help prevent delays in patient care.
- De‑escalate concerns professionally and route issues appropriately when escalation is needed.
- Review incoming requests for completeness and accuracy.
- Assist with documentation intake and routing to the appropriate WISeR queue.
- Identify submission issues related to NPI, PTAN, UTN, or enrollment details and communicate corrective guidance.
- Document all customer interactions accurately in internal systems.
- Collaborate with WISeR clinical, admin, and management teams to support timely case resolution.
- Escalate cases following established escalation guidelines when SLA or impact criteria are met.
- Track follow‑ups and ensure customers receive consistent and accurate information.
- Adhere to HIPAA and data privacy requirements when handling PHI and sensitive information.
- Follow internal policies and standard operating procedures (SOPs).
Requirements
What you’ll need- High school diploma or equivalent required (Associate’s or Bachelor’s degree preferred).
- 1–3 years of customer service experience, preferably in healthcare, insurance, or revenue cycle environments.
- Strong verbal and written communication skills.
- Ability to manage multiple tasks in a fast‑paced, metrics‑driven environment.
- High attention to detail and documentation accuracy.
- Comfort working with portals, case management systems, and Microsoft Office tools.
- Experience with prior authorization, utilization management, or medical review workflows preferred.
- Familiarity with Medicare Part A / Part B concepts preferred.
- Experience supporting providers or facilities in a healthcare operations setting preferred.
- Knowledge of HIPAA and handling of PHI.
Benefits
Comp & perks- Competitive hourly salary
- Medical/Dental/Vision Insurance
- Equipment provided
- 401k matching (up to 2%)
- PTO: 80 hours accrued, annually
- 9 paid holidays
- Tuition reimbursement
- Professional growth and more!
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
customer servicedocumentation accuracyprior authorizationutilization managementmedical review workflowsNPIPTANUTNcase management systemsHIPAA
Soft Skills
verbal communicationwritten communicationattention to detailtask managementde-escalationcollaborationproblem-solvingcourtesyprofessionalismcustomer education
Certifications
high school diplomaAssociate's degreeBachelor's degree