{"id":3431778,"url":"https://alion.io/job/medlogix-customer-service-ops-support-specialist","title":"Customer Service Ops Support Specialist","company":{"id":4441365,"name":"Medlogix","domain":"medlogix.com","url":"https://alion.io/company/medlogix","size_band":null,"is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"ADP","truth_index":null},"role":"Customer Success","role_family":"Customer Success","seniority":"junior","employment_type":"full_time","work_mode":"on_site","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["Lansdale, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":null,"salary_estimate":{"min_usd":38000,"max_usd":72000,"period":"year","method":"role_seniority_country_remote_cell","sample_n":1280},"experience_years_min":2,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[],"status":"live","first_seen_at":"2026-10-26T21:22:00Z","employer_posted_date":"2026-10-26","last_verified_at":"2026-11-05T10:17:29Z","board_verified":true,"closed_at":null,"days_open":9,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":9},"description":"Medlogix, LLC delivers innovative medical claims solutions through a seamless collaboration of our Medlogix® technology, our highly skilled staff, access to our premier health care provider networks, and our commitment to keeping our clients’ needs as our top priority. Medlogix has a powerful mix of medical expertise, proven processes and innovative technology that delivers a more efficient, disciplined insurance claims process. The result is lower expenses and increased productivity for the auto insurance and workers’ compensation insurance carriers; third party administrators (TPAs); and government entities we serve.\nJOB TITLE: Customer Service Operational Support\nLocation: Remote\nDEPARTMENT: Customer Service/Intake\nFLSA STATUS: Non-exempt\nOVERVIEW: To support Customer Service Operations for all service products in all lines of business\nESSENTIAL DUTIES AND RESPONSIBILITIES :\nProcess EOB Request in Document Manager Inbox.\nCompletes outgoing Billing provider calls to request bill/medical records.\nClaim message handling all carriers.\nSolely maintain/address CSBilling mailbox inquires daily.\nSolely maintain/address CSIntake mailbox inquires daily.\nDistribute daily WC Hospital notifications- sent daily by supervisor.\nComplete daily FROI report and send to WCMC by 2pm daily (Back only)\nResearch and distribute Request for Precert (RFP Inbox) forwarding back to Precert, Carrier or provider. \nSpecialize process Allstate NIS/ Precert request.\nEnter and distributes FROIs as assigned.\nEnters new Intake/Referrals into SYSTEM.\nAdvises Customer Services/Intake Supervisor of activities and problematic issues.\nUtilizes various department Trackers (Productivity, Billing Tracker, Email) to track daily production.\nLogin as “New Login” to CCS to be available as back up phone agent.\nFROI Mailbox distribution/Q&A (back up)\nProcess updates to PE List, Employer Manager.\nMaintenance of FROI Right Fax address book.\nCan Assist with training.\nCompletes other tasks as assigned by Customer Service/Intake Supervisor \nKNOWLEDGE:\nKnowledge of daily customer service operations and principles, including customer needs assessment, meeting quality standards for services and evaluations of customer satisfaction.\nKnowledge of corporate and departmental policies and procedures.\nPossess’ working knowledge of pre-cert, worker’s comp, group health, PPO lookup, and Bill Review process.\nKnowledge of insurance carrier plans\nKnowledge of administrative and clerical procedures and systems such as word processing, managing files and records, designing forms and other office procedures and terminology.\nKnowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition and grammar.\nKnowledge of computer hardware and software\nKnowledge of medical coding, i.e., CPT codes, ICD-9 codes, HCPCS codes\nKnowledge of office equipment, i.e., telephone, computer, fax machine, copy machine, printer, e-copy scanner, calculator.\nSKILLS\nBilingual Spanish highly preferred.\nMust have moderate analytical skills, to sift through verbal and written information in order to make a decision in relation to the problem presented.\nMust be able to remain focused on the issue at hand without digressing to non-related matters.\nMonitor and assess own performance and make improvements and or take corrective action.\nExcellent Communication Skills\nExcellent Computer/Data Entry Skills\nEDUCATION, EXPERIENCE AND TRAINING:\nHigh School Diploma required.\nCollege Diploma or Certified Course Work preferred.\nMinimum of two years Customer Service experience required.\nManaged Care, Health Care, Doctors’ office/facility experience preferred.\nPHYSICAL DEMANDS: None must be carried out by an employee to successfully perform the essential functions of this.\n EEOC STATEMENT:\nMedlogix is an Equal Opportunity Employer. Medlogix does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, disability, national origin, veteran status or any other basis covered by appropriate law. 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