Healthcare Inbound Advocate - Customer Support Specialist

f139a240-55be-4f9c-8b7e-f3b1668371c2; Mandaluyong; On-site; PHP 240,000 - 360,000; Full time

Job summary

MedRisk is seeking an Inbound Advocate Level I to support communication between network providers and referring workers' compensation adjusters. The role focuses on tracking patient progress, maintaining case files, and delivering professional, accurate data to clients.

The successful candidate will handle high-volume inbound/outbound calls, maintain HIPAA/URAC compliance, and collaborate with clinicians to optimize utilization while upholding service and quality standards.

Qualifications

• Three years of call center experience (inbound/outbound) required.
• Bachelor's degree preferred or equivalent experience.
• Impeccable customer service skills and professional communication.
• Ability to multitask in a fast-paced environment.
• Detail oriented with strong organizational skills.

Responsibilities

• Triage incoming calls to provide excellent customer service to internal and external customers.
• Manage multiple claims and monitor case status with providers and adjusters.
• Update all case data in MedRisk’s database accurately.
• Relay authorizations to providers per client directions with confirmations to adjusters and nurse case managers.
• Collaborate with outbound advocates and clinicians to manage utilization.
• Ensure compliance with HIPAA and URAC guidelines and meet service standards.

Skills

Customer service

Communication

Microsoft Word/Excel

Windows

Time management

Education

Bachelor's degree preferred

Tools

Microsoft Word

Excel

Job description

MedRisk is seeking an Inbound Advocate Level I to support communication between network providers and referring workers' compensation adjusters. The role focuses on tracking patient progress, maintaining case files, and delivering professional, accurate data to clients.

The successful candidate will handle high-volume inbound/outbound calls, maintain HIPAA/URAC compliance, and collaborate with clinicians to optimize utilization while upholding service and quality standards.