Customer Service Professional (CSP) Level I

MedRisk; Conshohocken (Montgomery County); On-site; USD 38,000 - 52,000; Full time

Job summary

MedRisk is seeking a Customer Service Professional on the Provider Billing Inquiry team to support our network providers with claim status information and exceptional customer service. This U.S.-based role involves inbound calls, timely responses to inquiries, and collaboration with Accounting, Provider Relations, and Account Management to resolve issues.

Ideal candidates will uphold MedRisk's service standards and contribute to achieving monthly availability goals while following

Qualifications

• Handle inbound calls from providers and collection staff.
• Respond to daily provider inquiries about claim status.
• Explain billing processes and timing clearly to callers.
• Coordinate with Accounting, Provider Relations and Account Management as needed.

Responsibilities

• Receive inbound calls from a phone queue.
• Respond promptly to provider and collection staff inquiries about claim status.
• Explain billing processes and timing to callers clearly.
• Coordinate with Accounting, Provider Relations and Account Management to resolve inquiries.
• Meet MedRisk Customer Support Service and Quality standards.
• Maintain Total Agent Availability (TAA) targets monthly.
• Follow MedRisk interdepartmental procedures and policies.
• Identify system or procedural issues and notify the supervisor for resolution.
• Complete special projects as assigned by the Supervisor.

Skills

Inbound calls

Customer service

Billing inquiries

Communication

Interdept comms

Quality standards

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.