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Customer Ser Prof CSP Level I at MedRisk LLC
Mandaluyong, Metro Manila, Philippines -
Full Time

Start Date

Immediate

Expiry Date

10 Aug, 26

Salary

0.0

Posted On

12 May, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Claims Management, Call Center Operations, Data Entry, Verbal Communication, Written Communication, MS Outlook, MS Word, MS Excel, Multitasking, Customer Support

Industry

Hospitals and Health Care

Description
Position Summary Customer Service Professionals (CSP’s) on the Provider Billing Inquiry are responsible for successfully answering claims-related inquiries from our network providers while also communicating with internal Billing and Collection team to address these concerns. Primary Duties & Responsibilities * Receive inbound phone calls from a phone queue * Field and provide timely response to all daily inquiries from providers & collection staff regarding claim status. * Effectively communicate the billing process and timing expectations to the caller. * Communicate with other departments within MedRisk if needed to assist in resolving claim inquiry; such as Accounting, Provider Relations, and Account Management (Account Reps & Corporate Account Executives (CAE’s). * Consistently meet MedRisk Customer Support Service & Quality standards * Consistently maintain the Total Agent Availability (TAA) goal monthly. * Understand MedRisk’s interdepartmental procedures, policies and comply with them.  * Identify potential or existing system and/or procedural challenges, and notify Supervisor and assist in resolution if needed. * Complete special projects or tasks as assigned by the Supervisor. * Other duties as assigned. Qualifications * Experience in claims management is preferred * Ability to multitask in a fast-paced environment * Detail orientated and strong data entry skills * Minimum of 2 years of call center experience with both inbound and outbound calls (medium to high volume) most especially Healthcare accounts. * Excellent verbal and written communication skills * Proficient in MS Outlook, Word and Excel and general computer literacy, working with dual screens
Responsibilities
Handle inbound claims-related inquiries from network providers and coordinate with internal billing and collection teams. Ensure adherence to service quality standards and maintain agent availability goals.