Customer Ser Prof CSP Level I

1 week ago

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

Position Summary

Customer 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 their inquiries. In addition, customer service professionals are responsible for the intake of Physical Medicine referrals, scheduling of patients with in network providers and communication to adjuster and nurse case managers. 

Primary Duties & Responsibilities 

  • Receive inbound phone and electronic referrals from workers compensation insurance companies, nurse case managers, providers, doctors, patients etc. 
  • Open new cases accurately according to policy and procedures. 
  • Make outbound telephonic/electronic contacts with adjusters and Physical Therapy Centers to verify new case information/missing information and request other related paperwork. 
  • Communicate with adjusters and nurse case managers regarding updates on patient status in a timely manner. 
  • Maintain TAA goal (Total Agent Availability) monthly. 
  • Consistently meet MedRisk Customer Support Service & Quality standards (call monitoring and EOC monitoring). 
  • Review case information/consult with Case Management to determine if new cases need to be opened or patient can be followed in existing case. 
  • Validate new case data by reviewing, correcting, deleting, or re-entering data; combining data when account information is incomplete; purging files to eliminate duplication of data. 
  • Request verification from insurance companies and other related paperwork from providers telephonically/electronically. 
  • Make outbound calls to Providers and Patients in order to schedule patient's Physical Therapy 
  • 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. 
  • Apply knowledge of and adhere to the URAC Utilization Management Standards.

Qualifications 

  • Bachelor's degree preferred or industry experience equivalent 
  • Minimum of 3 years of call center experience with both in-bound and out-bound calls (medium to high volume). 
  • Excellent verbal and written customer service skills demonstrating a can-do attitude. 
  • Highly developed problem-solving 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

  • Customer Ser Prof CSP Level I

    5 days ago

    Mandaluyong City, National Capital Region, Philippines MedRisk LLC Full time ₱250,000 - ₱450,000 per year

    Position SummaryCustomer Service Professionals (CSP's) on the Provider Billing Inquiry are responsible for successfully answering claims-related inquiries from our network providers while also communicating with internal Billing and Collection team to address these concerns. Primary Duties & ResponsibilitiesEfficient and effective screening and management of...

  • Customer Advocate Level I

    1 week ago

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

    Position SummaryAs 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....

  • Data Analyst Level I

    1 week 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...

  • AccountsReceiveAnalyst Level I

    6 days ago

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

    Accounts Receivable Analyst Level IThe primary role of the Accounts Receivable Analyst is to facilitate accurate and timely receipt of revenue. Through the course of standard revenue processes, the analyst is expected to identify trends and areas of opportunity that will result in more efficient workflows and optimal collection rates. This individual will...

  • AccountsReceiveAnalyst Level I

    6 days ago

    Mandaluyong City, National Capital Region, Philippines MedRisk LLC Full time ₱144,000 - ₱180,000 per year

    Accounts Receivable Analyst Level IThe primary role of the Accounts Receivable Analyst is to facilitate accurate and timely receipt of revenue. Through the course of standard revenue processes, the analyst is expected to identify trends and areas of opportunity that will result in more efficient workflows and optimal collection rates. This individual will...

  • Specialist I Customer Triage

    1 day ago

    Mandaluyong City, National Capital Region, Philippines Emerson Career Site Full time ₱250,000 - ₱500,000 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, Customer Triage, you will provide support to Emerson Process Management – Australia and New Zealand in handling customer emails and...

  • Tech Customer Spt Coordinator I

    3 days ago

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

    The primary task of RBI Technical Support Representative I (Online Support) is to manage and answer customer requests for assistance either by email or over the phone. RBI Technical Support Representative I (Online Support) will assist customers set up new accounts, manage user access and passwords, coordinate with different department under the PSPF line of...

  • Property Specialist I

    5 days ago

    Mandaluyong City, National Capital Region, Philippines Shang Properties, Inc. Full time ₱400,000 - ₱800,000 per year

    Role DescriptionThis is a full-time hybrid role for a Property Specialist I or II at Shang Properties, Inc. The role is based in Mandaluyong, with some work-from-home flexibility. The Property Specialist I will be responsible for day-to-day tasks such as managing customer interactions, overseeing both commercial and residential real estate operations, and...

  • Patient Advocate Level I

    5 days ago

    Mandaluyong City, National Capital Region, Philippines MedRisk LLC Full time

      Position SummaryThe Patient Advocate is responsible for retaining client loyalty and referrals by consistently delivering clear, efficient and valuable support to all callers while providing communication with Adjusters and Nurse Case Managers in order to establish a best-in-class customer experience.  The Patient Advocate is further responsible for...

  • Patient Advocate Level I

    3 days ago

    Mandaluyong City, National Capital Region, Philippines MedRisk LLC Full time

    Position SummaryThe Patient Advocate is responsible for retaining client loyalty and referrals by consistently delivering clear, efficient and valuable support to all callers while providing communication with Adjusters and Nurse Case Managers in order to establish a best-in-class customer experience.The Patient Advocate is further responsible for lending...