Walk-in || Urgently Required | Customer Support Representative | WFO Only

Job Description

We have Openings for US Health Care Customer Service Representative Management Process. As a healthcare Customer Service Representative, you will be responsible for successfully managing large amounts of inbound and outbound calls. This will include following communication scripts, handling different topics, and acting as a liaison between our company and its customers. In addition, you will be responsible for evaluating all documents to ensure that appropriate information has been obtained for claim purposes.

Qualification: Any Graduate

Experience: 2- 5 years of US Healthcare Calling Experience.

Responsibilities:

• Manage Inbound & Outbound calls and customer service enquiries, in this profile specifically agent will be answering an inbound calls which they will receive from the providers/pharmacies/members to seek assistance on benefits or on claim denials.
• US Medical/PBM denied Claims Handling process.
• Utilization Management handling including PA, Appeals, etc.
• RCM cycle that is used to manage the financial cycle of a patients encounter.
• Management and resolve customer complaints
• Identifying customers needs, clarify information, research every issue and providing solutions 
• Following call centre “scripts” when handling different topics
• Work with the team to resolve issues with good aptitude
• Maintain and prepare activity reports.
• Maintains and improves quality results by adhering to standards and guidelines, recommending improved procedures

Requirements:

• Previous experience in US Healthcare.
• Should be comfortable with rotational shifts and offs.
• Should be comfortable with working on Indian Holidays.
• Should be well versed with end to end claims handling process.
• Strong phone and verbal communication skills along with active listening
• Familiarity with CRM systems and practices
• Customer focus and adaptability to different personality types
• Ability to multi-task, set priorities and manage time effectively

Mandatory Skills/Experience:

• Excellent communication skills (written and verbal).
• American accent would be preferable.
• Should be comfortable with rotational shifts and offs.
• Should be comfortable with working on Indian Holidays.
• Candidates must be willing to work in Voice process.