Claims issue resolution specialistMedRisk Philippines

START THE MID YEAR WITH A NEW CAREER AT MEDRISK PHILIPPINES, INC!
MedRisk, Inc -- a leading provider of managed physical medicine in the United States -- has set up their first Philippine office in Mandaluyong. They are continuously expanding their services, and they need experienced Healthcare BPO associates to be part of their team!
The Claims Issue Resolution Specialist (CIRT) is responsible in obtaining the initial PT evaluation claim/bill from various providers either by direct reach out or generation of a report to be submitted to corporate accounts.
The role also supports constant communication between internal and external customers to help strengthen MedRisk's issue resolution process ensuring efficiency while increasing customer satisfaction.
PRIMARY DUTIES AND RESPONSIBILITIES
Efficient and effective generation of reports from internal systems that will also be used for provider outreach
Analyzation and case review of scheduled evaluation without corresponding claims on file
Independent root cause analysis of cases with missing claims on file including trend analysis to be reported to Management for resolution
Clear and concise findings and possible resolution report to be submitted to appropriate parties through succinct, professionally-written communication
Excellent multi-tasking skills to ensure communicated TATs are being met.
Complete special projects or tasks as assigned by the supervisor.
Comply with HIPAA and URAC guidelines
QUALIFICATIONS
Must possess a college degree in any field (Nursing/PT/OT degree is a plus but not required)
Must have experience in BPO industry
Possess impeccable customer service skills with 1-2 years of experience
Exposure to Worker's Compensation laws and statutes
Knowledge of CPT, HCPC, ICD codes for Physical Medicine preferred
Experience claims management preferred
Experience in Medical Billing preferred
Ability to multitask in a fast-paced environment
Detail orientated and strong data entry skills
Excellent verbal and written communication skills
Proficient in MS Office with intermediate skills in Excel
Time management and strong organizational skills required
Willing to work in Mandaluyong City
Willing to work on night shift
BENEFITS
Salary package up to P35,000/month (depending on work experience)
HMO Coverage up to Php 250,000 maximum benefit limit
Excellent work culture
Huge opportunity for growth with a leading US provider of Managed Physical Medicine with a growing presence in the Philippines
MedRisk Philippines

Mandaluyong City, Metro Manila
₱35,000 per month
Permanent
Full-time