US Healthcare, voice process

Key Responsibilities:

• Handle inbound and outbound calls with patients, insurance companies, or healthcare providers.
• Assist with insurance verification, eligibility checks, prior authorization, and claims follow-ups.
• Explain medical bills and resolve queries related to EOBs, co-pays, deductibles, and account balances.
• Accurately document call details and update patient or insurance records in the system.
• Escalate unresolved or complex cases to the appropriate team.
• Maintain HIPAA compliance and confidentiality in all communications.
• Meet individual and team performance metrics like call handling time, accuracy, and customer satisfaction.
• Participate in training sessions to stay updated on healthcare processes, regulations, and tools.

Qualifications:

• Graduate in any discipline (preferred: Life Sciences, B.Pharm, Nursing, or related).
• 0–2 years of experience in US healthcare process (AR calling, insurance verification, medical billing).
• Freshers with excellent communication skills and a willingness to work in night shifts are welcome.

Skills and Competencies:

• Excellent spoken English and neutral accent.
• Knowledge of US healthcare terminology (ICD, CPT, EOB, HMO/PPO) is a plus.
• Basic understanding of revenue cycle management (RCM).
• Strong listening, problem-solving, and multitasking skills.
• Familiarity with CRM tools, MS Office, and call center software.