Provider Claims Support Specialist

MedRisk LLC; United States; On-site; USD 38,000 - 48,000; Full time

Job summary

MedRisk LLC in the United States is seeking a Customer Service Professional (CSP) Level I. This Regular Full-Time position is based in CA, US.

The role involves assisting network providers with claim status, delivering excellent customer service, and coordinating with internal teams to resolve inquiries. As a CSP Level I, you will handle inbound calls, clearly explain billing processes, and strive to meet MedRisk's service and quality standards while maintaining strong availability to the team.

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 LLC in the United States is seeking a Customer Service Professional (CSP) Level I. This Regular Full-Time position is based in CA, US.

The role involves assisting network providers with claim status, delivering excellent customer service, and coordinating with internal teams to resolve inquiries. As a CSP Level I, you will handle inbound calls, clearly explain billing processes, and strive to meet MedRisk's service and quality standards while maintaining strong availability to the team.