Provider Billing Claims Support Specialist

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

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.