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Virtix Health

Communication Center Representative

Virtix Health

Customer 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.

Posted 5/20/2026full-timePlano • Texas • 🇺🇸 United StatesJuniorWebsite

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

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Applicant 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