Inbound Advocate I - Customer Care & Claims Liaison

MedRisk; Philippines; Presencial; PHP 240 000 - 480 000; Tempo integral

Resumo da oferta

MedRisk in the Philippines is seeking a Customer Service Inbound Advocate Level I to support communication between our network providers and workers' compensation adjusters. The role tracks patient progress from initial evaluation to discharge, gathering case information and maintaining file integrity while communicating professionally with referring customers.

Responsibilities include triaging calls, managing multiple claims, updating data in MedRisk’s database, and ensuring HIPAA/URAC

Qualificações

• Minimum of 3 years of call center experience with both in-bound and out-bound calls.
• Bachelor’s Degree preferred or industry experience equivalent.
• Impeccable customer service skills.
• Ability to multi task in a fast paced environment.
• Detail oriented.
• Excellent communication skills.
• Knowledge of Microsoft Word and Excel.
• Computer skills in Windows environment.
• Time management and strong organizational skills.

Responsabilidades

• Triage incoming calls to provide excellent customer service to internal and external customers.
• Manage multiple claims and monitor case status with Network Providers and clients.
• Properly update all case related data to MedRisk’s database.
• Relay authorizations to providers with confirmations to the Adjuster and Nurse Case Manager.
• Collaborate with Outbound Advocates and Clinicians to manage utilization.
• Be knowledgeable about the client’s unique needs and respond appropriately.
• Build approachable, professional relationships with providers and referring customers.
• Ensure compliance with HIPAA and URAC guidelines.
• Maintain monthly Total Agent Availability goals and meet customer support standards.

Conhecimentos

Call center experience

Customer service

Communication skills

Multi-tasking

Detail oriented

Time management

Formação académica

Bachelor’s Degree

Ferramentas

Microsoft Word

Excel

Windows OS

Descrição da oferta de emprego

MedRisk in the Philippines is seeking a Customer Service Inbound Advocate Level I to support communication between our network providers and workers' compensation adjusters. The role tracks patient progress from initial evaluation to discharge, gathering case information and maintaining file integrity while communicating professionally with referring customers.

Responsibilities include triaging calls, managing multiple claims, updating data in MedRisk’s database, and ensuring HIPAA/URAC