Bulk Hiring For Customer Service Representative

2 weeks ago

Noida, India Rxadvance Pbm Full time

Roles & Responsibilities:

  • Manage inbound & outbound calls from US providers, pharmacies, and members regarding benefits or claim denials.
  • Handle US Medical/PBM denied claims and Utilization Management (PA, Appeals, etc.).
  • Manage RCM cycle for patient financial encounters.
  • Evaluate documents to ensure accurate claim information.
  • Resolve customer queries and complaints professionally.
  • Adhere to call center scripts, maintain quality standards, and prepare reports.

Requirements:

  • 23 years of US Healthcare voice process experience.
  • Excellent communication skills.
  • Comfortable with rotational shifts (247) and working on Indian holidays.
  • Strong knowledge of claims handling and CRM systems.
  • Customer-focused, adaptable, with good problem-solving skills.
  • Must be willing to work in a voice process.

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