Claims & Compliance Advocate — Patient Care Liaison

MedRisk; Philippines; On-site; PHP 335,000 - 670,000; Full time

Job summary

MedRisk is seeking a healthcare claims processor in the Philippines to manage claims and monitor case status by confirming patient attendance with network providers and addressing any compliance concerns.

You will update case data on MedRisk’s database/platform, track and relay authorizations to providers as directed by clients, and build professional relationships with providers and referring customers while ensuring HIPAA and URAC guidelines are followed.

Responsibilities

• Manage claims and monitor case status by confirming patient attendance with network providers, and addressing any concerns regarding compliance
• Properly update all case related data to MedRisk’s database/platform
• Track and relay authorization to our providers as directed by the clients with confirmations to the adjuster and NCM
• Be knowledgeable regarding the client’s unique needs and respond appropriately
• Build approachable, professional relationships with providers and referring customers.
• Compliance with HIPAA and URAC guidelines
• Employee is expected to work a minimum of 60 tasks daily

Job description

MedRisk is seeking a healthcare claims processor in the Philippines to manage claims and monitor case status by confirming patient attendance with network providers and addressing any compliance concerns.

You will update case data on MedRisk’s database/platform, track and relay authorizations to providers as directed by clients, and build professional relationships with providers and referring customers while ensuring HIPAA and URAC guidelines are followed.