Job Description

The Customer Service - 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.QUALIFICATIONS

• Minimum of 1 year 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 in a night shift schedule and on-site in Mandaluyong City

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)

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 CityJob Types: Full-time, PermanentSalary: Php32,000.00 - Php35,000.00 per monthBenefits:

• Additional leave
• Company events
• Health insurance
• Opportunities for promotion
• Paid training

Schedule:

• 8 hour shift
• Shift system

Supplemental Pay:

• 13th month salary

Ability to commute/relocate:

• Mandaluyong City: Reliably commute or planning to relocate before starting work (Required)