Customer Ser Prof CSP Level I
Medata
Date: 3 weeks ago
City: Mandaluyong City
Contract type: Full time
Full Onsite Position
Position Summary
Customer Service Professionals (CSP’s) on the Claims Inquiry Team (CIT) are responsible for providing support to our existing network providers by assisting them with status of their claims while providing outstanding customer service.
Primary Duties & Responsibilities
Position Summary
Customer Service Professionals (CSP’s) on the Claims Inquiry Team (CIT) are responsible for providing support to our existing network providers by assisting them with status of their claims while providing outstanding customer service.
Primary Duties & 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.
- Other duties as assigned.
- Minimum of 3 years of call center experience with both inbound and outbound calls (medium to high volume)
- Prior experience in billing and / or in a health related field with some knowledge of insurance and / or medical terminology / coding preferred.
- I.E. CPT / HCPCS and ICD9 experience is a plus, but not required
- Excellent verbal and written communication skills
- Strong data entry skills
- Detail oriented and solid organizational skills
- Solid MS Word, Excel and Outlook experience
- Must have ability to multi-task and work independently
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