Provider Claims & Billing Support Specialist

MedRisk; King of Prussia (PA); On-site; USD 32,000 - 42,000; Full time

Job summary

MedRisk in King of Prussia, PA is seeking Customer Service Professionals on the Provider Billing Inquiry team to support our network providers by assisting with claim status and delivering outstanding customer service.

The role focuses on handling inbound phone calls, providing timely responses, coordinating with Accounting, Provider Relations, and Account Management to resolve inquiries, and maintaining service quality and availability.

Responsibilities

• 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.

Job description

MedRisk in King of Prussia, PA is seeking Customer Service Professionals on the Provider Billing Inquiry team to support our network providers by assisting with claim status and delivering outstanding customer service.

The role focuses on handling inbound phone calls, providing timely responses, coordinating with Accounting, Provider Relations, and Account Management to resolve inquiries, and maintaining service quality and availability.