Customer Service Representative at CompIQ-Philippines Branch

Pasay, Metro Manila, Philippines -

Full Time

Start Date

Immediate

Expiry Date

16 Mar, 26

Salary

0.0

Posted On

16 Dec, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Customer Service, Workers Compensation, CompIQ, Zendesk, Medical Terminology, ICD-9, ICD-10, CPT, Data Entry, Medical Bill Processing, Problem Resolution, Teamwork, Communication Skills, Administrative Tasks, Attention to Detail, Professionalism

Industry

Software Development

Description

Description The Provider Relations Representative is responsible for answering phone inquiries pertaining to workers compensation claims from multi-state medical providers. An understanding of company computer systems, CompIQ and Zendesk, is required to answer, return, and manage calls. The primary function of the Provider Relations Representative is to provide prompt, courteous and professional Customer Service at all times. Primary Responsibilities Provide prompt, courteous, and accurate customer service for all calls, with a solid understanding of worker’s compensation guidelines. Working knowledge of CompIQ, Zendesk, and any client proprietary software Understanding of State rulings and regulations as relating to Workers’ Compensation. Understanding of medical bill processing rules and guidelines, including how to read Bill Review Logs. Perform administrative tasks such as managing faxes, resubmitting bills, updating spreadsheets, phone message retrieval, and e-mails within 24 hours, etc. Processing medical bills, coding, or data entry with 98% accuracy during phone downtime or as assigned. Be available to switch schedules, with little notice, between the hours of 8am and 8pm Eastern Time, Monday through Friday, to provide support coverage for our call centers. Collateral Responsibilities Demonstrate the ability to work both individually and in a team environment Respond to provider issues and direct problem resolution Set an example of courtesy and professionalism for all co-workers and customers Complete additional work assignments as required by management Requirements Minimum Qualifications High school diploma and or Ability to learn ICD-9/ICD-10 and CPT/HCOC coding Ability to use Microsoft Windows-based software Ability to learn and apply basic medical terminology Excellent oral and written skills in English (American) Ability to assess and document reconsideration issues based on caller’s issue Ability to work in a team environment Minimum one (1) year of Customer Service experience (voice) Must be able to work an 8 hour shift between 8am EST and 8pm EST, Monday Through Friday, in addition to working on holidays in the Philippines and having no work on U.S. holidays. Preferred Qualifications Two (2) years experience in Customer Service Department Two (2) years experience in Workers’ Compensation Two (2) years experience in a medical setting Six (6) months experience in Bill Review Department

Responsibilities

The Provider Relations Representative is responsible for answering phone inquiries related to workers compensation claims from medical providers. They must provide prompt, courteous, and professional customer service while managing calls and performing administrative tasks.