Provider Relations & Customer Experience Associate II

MedRisk; Mandaluyong; On-site; PHP 420,000 - 520,000; Full time

Job summary

MedRisk is seeking a Provider Relations Representative in Mandaluyong, Philippines to handle inquiries from medical providers regarding workers’ compensation claims. You will use StrataWare, CompIQ and Call Track to answer, return, and manage calls while delivering prompt, courteous and professional customer service.

Responsibilities include handling calls with accuracy, understanding state workers’ compensation rules, and performing administrative tasks within 24 hours.

Qualifications

• Experience delivering high-quality customer service in a call center or service desk setting.
• Ability to navigate workers’ compensation guidelines and related processes.
• Strong data entry accuracy and attention to detail.

Responsibilities

• Provide prompt, courteous customer service for all calls with knowledge of workers’ comp guidelines.
• Work with StrataWare/CompIQ, Call Track, and client software to manage calls and tasks.
• Understand state rulings related to workers’ compensation and apply them in calls.
• Read and interpret medical bill processing rules and Bill Review Logs.
• Handle administrative tasks such as faxes, resubmitting bills, updating spreadsheets, and emails within 24 hours.
• Process medical bills, coding, or data entry with high accuracy during downtime or as assigned.
• Be adaptable with schedule changes to cover call centers between 8am–8pm, Mon–Fri.

Skills

Customer service

Call center experience

Data entry accuracy

Knowledge of workers’ compensation

Tools

StrataWare

CompIQ

Call Track

Job description

MedRisk is seeking a Provider Relations Representative in Mandaluyong, Philippines to handle inquiries from medical providers regarding workers’ compensation claims. You will use StrataWare, CompIQ and Call Track to answer, return, and manage calls while delivering prompt, courteous and professional customer service.

Responsibilities include handling calls with accuracy, understanding state workers’ compensation rules, and performing administrative tasks within 24 hours.