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MedRisk LLC

Customer Ser Prof CSP Level I

full-time•Iloilo City, Mandaluyong

Summary

Location

Iloilo City, Mandaluyong

Type

full-time

Experience

0-2 years

Company links

WebsiteLinkedInLinkedIn

About this role

Position Summary

Customer Service Professionals (CSP’s) on the Electronic team are responsible for supporting client retention and PT referral objectives by consistently handling new EOC/case requests from all sources including Adjuster, NCM, Payer, TPA, Doctor, Employer, Provider (Center) and Patients.  The new EOC/case opening are all conducted electronically meaning by Email, Fax, Adjuster Portal, MM package receipt and EDI process.  Productivity and quality of work are of equal importance.

 

 

Primary Duties & Responsibilities

  • Receive inbound electronic referrals from Adjusters, NCMs, Centers, MDs, patients etc.
  • Open new EOCs/cases accurately according to policy and procedures.
  • Review case information to determine if a new case needs to be opened or patient can be followed in existing case.
  • Make first outbound attempts with various sources to verify new case/missing information, requesting Verification from Insurance Carriers or request other related paperwork telephonically
  • Maintain productivity and quality EOC monitoring goals daily/monthly.
  • Validate new case data by reviewing, correcting, deleting, or re-entering data; combining data when account information is incomplete.
  • Phone trained CSPs with prior MedRisk Inbound call center experience will be called upon to assist with incoming calls during a time of crisis.
  • Forward any email/fax to proper dept. Attachment documents appropriately to new/existing EOCs.
  • 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.
  • Compliance with HIPPA and URAC guidelines
  • Other duties as assigned.

 

 

Qualifications

 

  • Bachelor’s Degree preferred or industry experience equivalent
  • 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

What you'll do

  • Customer Service Professionals are responsible for handling new electronic case requests and ensuring client retention. They must accurately open new cases, verify information, and maintain productivity and quality standards.

About MedRisk LLC

Founded in 1994 and headquartered in Conshohocken, Pennsylvania, MedRisk was established with a mission to revolutionize physical rehabilitation for workers' compensation patients. Over the last 30 years, the company has evolved into a leading managed care organization dedicated to physical rehabilitation and medical bill review for the casualty claims industry.

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Frequently Asked Questions

What does a Customer Ser Prof CSP Level I do at MedRisk LLC?

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As a Customer Ser Prof CSP Level I at MedRisk LLC, you will: customer Service Professionals are responsible for handling new electronic case requests and ensuring client retention. They must accurately open new cases, verify information, and maintain productivity and quality standards..

Is the Customer Ser Prof CSP Level I position at MedRisk LLC remote?

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The Customer Ser Prof CSP Level I position at MedRisk LLC is based in Iloilo City, Western Visayas, Philippines and Mandaluyong, National Capital District, Philippines. Contact the company through Clera for specific work arrangement details.

How do I apply for the Customer Ser Prof CSP Level I position at MedRisk LLC?

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You can apply for the Customer Ser Prof CSP Level I position at MedRisk LLC directly through Clera. Click the "Apply Now" button above to start your application. Clera's AI-powered platform will help match your profile with this opportunity and guide you through the application process.
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