Provider Relations Specialist - Claims & Customer Support

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

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.