Customer Ser Prof CSP Level I

Position Summary

Customer 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 & 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.

Qualifications

• Experience in claims management is preferred
• Ability to multitask in a fast-paced environment
• Detail orientated and strong data entry skills
• Minimum of 2 years of call center experience with both inbound and outbound calls (medium to high volume) most especially Healthcare accounts.
• Excellent verbal and written communication skills
• Proficient in MS Outlook, Word and Excel and general computer literacy, working with dual screens