cs inbo und advocateMedRisk 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 Inbound Advocate support the communication between our MedRisk Network Providers and the referring Workers Compensation Adjusters/Nurse Case Managers. Acting as liaison, an Inbound Advocate tracks patient progress from the Initial Evaluation to discharge by obtaining relevant case information from Providers, maintaining the integrity of the case file and related documents, and communicating professionally and effectively with the referring customer. Inbound Advocates help strengthen MedRisks referral process ensuring efficient workflow while increasing customer satisfaction.
PRIMARY DUTIES AND RESPONSIBILITIES
Triage incoming calls to provide excellent customer service to internal and external customers
Manage multiple claims and monitor case status by confirming patient attendance with Network Providers, and addressing any concerns regarding compliance
Properly update all case related data to MedRisks database
Track and relay authorization to our providers as directed by the clients with confirmations to the Adjuster and Nurse Case Manager
Work closely with the Outbound Customer Advocates and the Clinicians to manage utilization
Be knowledgeable regarding the clients unique needs and respond appropriately
Build approachable, professional relationships with providers and referring customers.
Compliance with HIPAA and URAC guidelines
Maintain TAA goal (Total Agent Availability) monthly.
Consistently meet MedRisk Customer Support Service & Quality standards (call monitoring and COID monitoring)
QUALIFICATIONS
Minimum of 2 years of call center experience with both in-bound and out-bound calls (medium to high volume).
Bachelor's Degree in any course
Impeccable customer service skills
Ability to multi task in a fast paced environment
Detail oriented
Excellent communication skills
Knowledge of Microsoft Word and Excel
Computer skills in Windows environment
Time management and strong organizational skills
Willing to work on a night shift schedule and on-site in Mandaluyong City
BENEFITS
Salary package up to P35,000/month
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
Preferably residing within Metro Manila only. Candidates in Cavite, Rizal, and Bulacan area are welcome to apply as long as they are amenable to report onsite in Rockwell Business Center Sheridan - South Tower, Sheridan St., Mandaluyong City
MedRisk Philippines

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