Customer Advocate Level I

2 days ago

Mandaluyong City, National Capital Region, Philippines MedRisk LLC Full time ₱180,000 - ₱360,000 per year

Position Summary

As a Customer Advocate, you will be supporting communication between MedRisk/SPNet's network providers and referring adjusters and nurse case managers. You will report to the Customer Advocate Team Lead and/or Supervisor to help strengthen MedRisk/SPNet's referral process, ensuring efficient workflow, while increasing customer satisfaction. Acting as liaison, the Customer Advocate tracks patient progress from the start of treatment, throughout treatment, and through to closure by obtaining relevant case updates from providers, including but not limited to dates of service, compliance, treatment notes, and continued authorization. They are responsible for maintaining the integrity of the case file and related documents and communicating professionally and effectively with the customer.

Primary Duties & Responsibilities

Level I:

  • Manage claims and monitor case status by confirming patient attendance with network providers, and addressing any concerns regarding compliance
  • Properly update all case related data to MedRisk's database/platform
  • Track and relay authorization to our providers as directed by the clients with confirmations to the adjuster and NCM
  • Be knowledgeable regarding the client's unique needs and respond appropriately
  • Build approachable, professional relationships with providers and referring customers.
  • Compliance with HIPAA and URAC guidelines
  • Employee is expected to work a minimum of 60 tasks daily

Qualifications

  • Bachelor's Degree preferred; impeccable customer service skills with 2-3 years of experience preferred
  • Ability to work independently and multi task in a fast paced environment
  • Detail oriented
  • Excellent verbal & written communication skills
  • Basic knowledge of Microsoft Word, Excel, Outlook and Zoom
  • Computer skills in Windows environment
  • Time management and strong organizational skills
  • Adaptability
  • Ability to receive constructive feedback
  • Strong work ethic

  • Data Analyst Level I

    2 days ago

    Mandaluyong City, National Capital Region, Philippines MedRisk LLC Full time ₱900,000 - ₱1,200,000 per year

    Job SummaryIn the role of a Data Analyst Level I, the primary responsibility is to support the development of data-driven solutions that influence decision-making across the organization. This involves generating ad hoc reports using SQL and Excel, and supporting the development of automated MIDAS reports for end-users. The role also includes assisting in...

  • Advocate, Customer Commercial Products

    1 week ago

    Makati City, National Capital Region, Philippines Chevron Full time ₱1,200,000 - ₱2,400,000 per year

    Total Number of Openings1About UsChevron is a leading multinational energy company with operations in over 180 countries. Founded in 1879, Chevron has a rich history of innovation and growth, making significant contributions to the global energy landscape.Chevron markets Caltex fuels, lubricants and other petroleum products in the Philippines. Our network of...

  • WFM Analyst I

    2 weeks ago

    Mandaluyong City, National Capital Region, Philippines Teleperformance Full time ₱800,000 - ₱1,200,000 per year

    About the role We are seeking a WFM Analyst I to join our growing team at Teleperformance EDSA. As a WFM Analyst I, you will be responsible for analysing and optimising workforce management for our busy call centre operations in Mandaluyong City, Metro Manila. This is a full-time role that offers excellent opportunities for career growth and development...

  • Customer Ser Prof CSP Level I

    2 days ago

    Mandaluyong City, National Capital Region, Philippines MedRisk LLC Full time ₱250,000 - ₱500,000 per year

    Position SummaryCustomer Service Professionals (CSP's) are responsible for first line of support for Inbound contact center. Provide an easy, efficient and productive customer experience for callers. Their duties include handling many inbound and outbound calls to and from customers, listening to customers' needs or issues and providing helpful solutions to...

  • Credentialing Special Level I

    1 week ago

    Mandaluyong City, National Capital Region, Philippines MedRisk LLC Full time ₱900,000 - ₱1,200,000 per year

    Position SummaryMaintaining a clean and updated database is crucial for the success of MedRisk. All business units rely on updated and valid information to ensure our providers and clients are receiving the services they come to expect. We also need to ensure we are compliant with the requirements to pass our internal and external audits. The Credentialing...

  • Accounting Poster Level I

    5 days ago

    Mandaluyong City, National Capital Region, Philippines MedRisk LLC Full time ₱200,000 - ₱250,000 per year

    Position SummaryDaily posting of cash receipts to patient accounts into the Posting system (MedManager currently).Primary Duties & ResponsibilitiesAccurately and Efficiently apply cash receipts to patient accounts in the posting system by date of depositReconcile each batch on the Cash Receipt Control Sheet using the Daily Cash Posting ReportAdhere to...

  • Specialist I Scheduling

    1 week ago

    Mandaluyong City, National Capital Region, Philippines Emerson Career Site Full time $70,000 - $120,000 per year

    Emerson's 130+ years of history have been filled with achievements and challenges that have driven innovative thinking and bold transformations, molding us into the company we are today. By joining us as a Specialist I, Scheduling, you will be able to work with the Outbound Shipment Team and other Supply Chain and Manufacturing partners to ensure that daily...

  • Specialist I Scheduling

    1 week ago

    Mandaluyong City, National Capital Region, Philippines Emerson Electric (Asia) Limited - ROHQ Full time ₱1,200,000 - ₱2,400,000 per year

    Emerson's 130+ years of history have been filled with achievements and challenges that have driven innovative thinking and bold transformations, molding us into the company we are today. By joining us as a Specialist I, Scheduling, you will be able to work with the Outbound Shipment Team and other Supply Chain and Manufacturing partners to ensure that daily...

  • Specialist I Scheduling

    1 week ago

    Mandaluyong City, National Capital Region, Philippines Emerson Full time ₱900,000 - ₱1,200,000 per year

    Job DescriptionEmerson's 130+ years of history have been filled with achievements and challenges that have driven innovative thinking and bold transformations, molding us into the company we are today. By joining us as aSpecialist I, Scheduling,you will be able to work with the Outbound Shipment Team and other Supply Chain and Manufacturing partners to...

  • Training Specialist Level I

    1 week ago

    Mandaluyong City, National Capital Region, Philippines MedRisk LLC Full time ₱900,000 - ₱1,200,000 per year

    A Training Specialist is responsible for supporting all of Core Operations by consistently providing effective and efficient training to onboard new employees and provide supplemental training to existing employees. Trainers are responsible for ensuring training participants are set up to be a successful, productive member of the team capable of meeting the...