Roles Responsibilities
- Handling of inbound calls from providers and hospitals to inquire about member account queries related to (Precert, Eligibility, benefits, and claims).
- Raise request for pending/denied claims inquiry form providers.
- Create request for onshore to email/fax/post the documents or payments.
- The applicant will be responsible for handling an array of front facing duties.
- Some of these tasks including interaction with customers over the phone, via email or chat.
- Should be able to determine eligibility by comparing client's information against the requirements (particularly for claims).
- Should demonstrate the quality of attention to details, effective and clear communication, adaptability, empathy, patience and positive attitude.
- Ensure a secure and compliant work environment.
Skill Requirements
- Any Graduate (Except B.Tech, BCA or any technical qualification).
- Candidate should have minimum 1-2 year experience into international calling (inbound or outbound).
- US Healthcare knowledge with inbound calling will be preferred.
- The applicant should be result oriented and meet client's expectation and should have excellent interpersonal skills with a problem-solving ability and must maintain a high level of professionalism and present the organization in best light possible.
- Good knowledge of MS office (Especially MS-Excel).
Understanding of US Healthcare industry.
