CustomerExperienceAssociate II

MedRisk LLC; Mandaluyong; On-site; PHP 300,000 - 420,000; Full time

Job summary

MedRisk LLC in Mandaluyong, National Capital Region, PH, is seeking a CustomerExperienceAssociate II to handle worker’s compensation inquiries from multi-state providers. You will use StrataWare, CompIQ, and Call Track to answer, return, and manage calls with prompt, courteous service.

You must understand workers’ compensation guidelines and be able to handle administrative tasks such as billing and data entry while maintaining 24-hour response times.

Qualifications

• Experience in customer service or call center environments.
• Understanding of workers’ compensation guidelines.
• Ability to manage high-volume calls with accuracy.

Responsibilities

• Provide prompt, courteous and accurate customer service for all calls, with a solid understanding of worker’s compensation guidelines.
• Work with StrataWare/CompIQ, Call Track, and client software to access and update records as needed.
• Understand state rulings and regulations related to workers’ compensation.
• Read and interpret medical bill processing rules and guidelines, including bill review logs.
• Perform administrative tasks such as managing faxes, resubmitting bills, updating spreadsheets, and responding to emails within 24 hours.

Skills

Customer service

Call center experience

Tools

StrataWare

CompIQ

Call Track

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

CustomerExperienceAssociate II

Mandaluyong, National Capital Region, PH

2 days ago Requisition ID: 2984

Job Summary

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, StrataWare, CompIQ and Call Track, 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 StrataWare/CompIQ, Call Track, 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, Monday through Friday, to provide support coverage for our call centers.
• 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