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Virtix Health logo
Virtix Health

Innovative technology solutions for health plans, supporting Medicare Advantage, ACA, Medicaid & HEDIS

Communication Center Representative

CommunicationsCommunicationsFull TimeRemoteJuniorTeam 11-50H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

67 days ago

Salary

0

Seniority

Junior

High School1 yr expEnglish

Job Description

Communication Center Representative

Virtix Health

• Serve as the primary point of contact for providers, facilities, and internal partners seeking support with WISeR workflows. • Deliver timely, professional, and empathetic customer service. • Assist with prior authorization requests, case status inquiries, documentation intake, and portal navigation. • 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 to help prevent delays in patient care. • De‑escalate concerns professionally and route issues appropriately when needed. • Review incoming requests for completeness and accuracy. • Assist with documentation intake and routing to the appropriate WISeR queue. • Identify submission issues 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. • Track follow‑ups and ensure customers receive consistent and accurate information. • Adhere to HIPAA and data privacy requirements when handling sensitive information. • Support maintenance of knowledge base articles and customer guidance materials.

Job Requirements

  • 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 preferred.

Benefits

  • 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!

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