The Role
Answer inbound phone calls from providers and collection staff to resolve claim status inquiries, explain billing processes and timing, coordinate with internal departments, meet service and availability standards, identify system/procedural issues, and complete assigned projects.
Summary Generated by Built In
Customer Service Professionals (CSP’s) on the Provider Billing Inquiry (PBI) team are responsible for providing support to our existing network providers by assisting them with status of their claims while providing outstanding customer service.
- 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.
9am - 6:30pm Est
Skills Required
- Answer inbound phone calls from a phone queue
- Provide timely responses to providers and collection staff regarding claim status
- Clearly communicate billing process and timing expectations
- Coordinate with Accounting, Provider Relations, and Account Management as needed
- Meet MedRisk Customer Support Service and Quality standards
- Maintain Total Agent Availability (TAA) goal monthly
- Understand and comply with MedRisk interdepartmental procedures and policies
- Identify system or procedural issues and notify Supervisor; assist in resolution
- Complete special projects or tasks as assigned by Supervisor
- Work schedule: 9:00 AM - 6:30 PM EST
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The Company
What We Do
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.
