Customer Service Professional (CSP) Level I

MedRisk; California (MO); On-site; USD 36,000 - 48,000; Full time

Job summary

MedRisk is seeking Customer Service Professionals to join the Provider Billing Inquiry team to assist network providers with claim status updates and provide excellent service. You will handle inbound calls, respond to inquiries, and communicate billing timelines clearly.

The role emphasizes adherence to MedRisk customer support standards, interdepartmental collaboration, and problem-solving to resolve billing inquiries efficiently for U.S. based candidates.

Qualifications

• No specific education or credential stated in the ad.

Responsibilities

• Receive inbound phone calls from a phone queue.
• Field and provide timely responses to provider inquiries regarding claim status.
• Effectively communicate billing processes and timing expectations to the caller.
• Coordinate with Accounting, Provider Relations, and Account Management to resolve inquiries; such as CAEs and other staff.
• Consistently meet MedRisk Customer Support Service & Quality standards
• Consistently maintain the Total Agent Availability (TAA) goal monthly.
• Understand MedRisk’s interdepartmental procedures, policies and comply with them.
• Identify potential or existing system and/or procedural challenges, and notify Supervisor and assist in resolution if needed.
• Complete special projects or tasks as assigned by the Supervisor.

Job description

Customer Service Professionals (CSP’s) on the Provider Billing Inquiry (PBI) team are responsible for providing support to our existing network providers by assisting them with status of their claims while providing outstanding customer service.

This position is only for U.S. based candidates.

• Receive inbound phone calls from a phone queue
• Field and provide timely response to all daily inquiries from providers & collection staff regarding claim status.
• Effectively communicate the billing process and timing expectations to the caller.
• Communicate with other departments within MedRisk if needed to assist in resolving claim inquiry; such as Accounting, Provider Relations, and Account Management (Account Reps & Corporate Account Executives (CAE’s).
• Consistently meet MedRisk Customer Support Service & Quality standards
• Consistently maintain the Total Agent Availability (TAA) goal monthly.
• Understand MedRisk’s interdepartmental procedures, policies and comply with them.
• Identify potential or existing system and/or procedural challenges, and notify Supervisor and assist in resolution if needed.
• Complete special projects or tasks as assigned by the Supervisor.