Healthcare Customer Advocate I — Fast-Paced Support

MedRisk LLC; Mandaluyong; Vor Ort; PHP 279.000 - 446.000; Vollzeit

Zusammenfassung

MedRisk LLC in Mandaluyong is seeking a Customer Advocate to support liaison between MedRisk/SPNet’s network providers and referring adjusters and nurse case managers. You will help strengthen referral processes, ensure efficient workflow, and maintain case files with timely updates and professional communication.

The role emphasizes HIPAA/URAC compliance, data accuracy, and customer satisfaction while handling daily tasks and coordinating with providers and clients.

Qualifikationen

• Bachelor’s Degree preferred; impeccable customer service skills with 2–3 years of experience preferred
• Healthcare experience required; minimum of 1 year preferred
• Experience working with a US company (PH specific)
• Ability to work independently and multi task in a fast paced environment
• Detail oriented
• Basic knowledge of Microsoft Word, Excel, Outlook and Zoom
• Computer skills in Windows environment
• Time management and strong organizational skills
• Ability to receive constructive feedback

Aufgaben

• 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

Kenntnisse

Customer service

Time management

Organizational skills

Attention to detail

Ausbildung

Bachelor’s degree

Tools

Microsoft Word

Excel

Outlook

Zoom

Jobbeschreibung

MedRisk LLC in Mandaluyong is seeking a Customer Advocate to support liaison between MedRisk/SPNet’s network providers and referring adjusters and nurse case managers. You will help strengthen referral processes, ensure efficient workflow, and maintain case files with timely updates and professional communication.

The role emphasizes HIPAA/URAC compliance, data accuracy, and customer satisfaction while handling daily tasks and coordinating with providers and clients.