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Customer Service Representative
Pasay City, MOA Complex, PHL
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Description

Who we are…

CompIQ Solutions is a software and full-service provider focusing on the property and casualty medical bill review market. We provide an end-to-end solution for our clients leveraging our proprietary technology and software platforms in the delivery of our solutions and services. We focus our efforts on our three key stakeholders, in this order: 1) Clients; 2) Colleagues; 3) Company. 


About This Role  

The Customer Service Representative is responsible for answering phone inquiries pertaining to workers compensation claims from multi-state medical providers.  An understanding of company computer systems, CompIQ and Zendesk, is required to answer, return, and manage calls.  The primary function of the Provider Relations Representative is to provide prompt, courteous and professional Customer Service at all times.


Duties and Responsibilities 

  • Provide prompt,  courteous, and accurate customer service for all calls, with a solid understanding of worker’s compensation guidelines.
  • Working knowledge of CompIQ, Zendesk, and any client proprietary software
  • Understanding of State rulings and regulations as relating to Workers’ Compensation.
  • Understanding of medical bill processing rules and guidelines, including how to read Bill Review Logs.
  • Perform administrative tasks such as managing faxes, resubmitting bills, updating spreadsheets, phone message retrieval, and e-mails within 24 hours, etc.
  • Processing medical bills, coding, or data entry with 98% accuracy during phone downtime or as assigned.

  

Collateral Responsibilities

  • Demonstrate the ability to work both individually and in a team environment
  • Respond  to provider issues and direct problem resolution
  • Set an example of courtesy and professionalism for all co-workers and customers
  • Complete additional work assignments as required by management


Requirements

Minimum Qualifications

  • High school diploma and or equivalent
  • Ability to learn ICD-9/ICD-10 and CPT/HCOC coding
  • Ability to use Microsoft Windows-based software
  • Ability  to learn and apply basic medical terminology
  • Excellent  oral and written skills in English (American)
  • Ability to assess and document reconsideration issues based on caller’s issue
  • Ability to work in a team environment
  • Minimum one (1) year of Customer Service experience (voice)
  • Must be able to work an 8 hour shift between 8am EST and 8pm EST, Monday through Friday, in addition to working on holidays in the Philippines and having no work on US holidays. 


Preferred Qualifications

  • Two (2)  years experience in Customer Service Department
  • Two (2)  years experience in Workers’ Compensation
  • Two (2)  years experience in a medical setting
  • Six (6)  months experience in Bill Review Department

 

What We Offer

CompIQ Solutions provides our full-time, regular team members with the below benefits:

  • Fair and Competitive Salary 
  • Hybrid Set Up 
  • Performance Bonuses 
  • Attendance Bonuses 
  • HMO with 1 free dependent 

Hours of Operation

Although CompIQ operates both Philippines day and night shifts, this role will predominately work local day shift hours with flexibility and requirement to ensure visibility with teams on alternative shifts as well as to join calls originating in US hours.


How to Apply

Interested? Please apply directly via our website at: https://compiqsolutions.com/careers/

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