Customer Service Representative

10 hours ago

Noida, India nirvanaHealth | RxAdvance Full time

URGENT HIRING ALERT

Position: CUSTOMER SERVICE REPRESENTATIVE (CSR)

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.

Position: Customer Support Representative (US/Voice)/ Immediate joiners Only

Qualification: Any Graduate

Experience: 2-6 years of Inbound/Outbound Voice Calling Experience.

Responsibilities:


• Manage Inbound & Outbound calls and customer service enquiries, in this profile specifically agent will be answering 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 patient's encounter.


• Management and resolve customer complaints.


• Identifying customers' needs, clarify information, research every issue and providing solutions.


• Working towards highest level of customer satisfaction.


• Must maintain high patience level while handling cases/queries.


• Following call centre "scripts" when handling different topics.


• Work with the team to resolve issues with good aptitude.


• Maintain and prepare activity reports.

Maintain and improve quality results by adhering to standards and guidelines, recommending improved procedures.

Mandatory Skills/Experience:


• Excellent communication skills (written and verbal).


• Should be comfortable with rotational shifts and offs.

Should be comfortable with working on Indian Holidays.


• Candidates must be willing to work in inbound/outbound voice process.

Requirements:


• Should be comfortable with rotational shifts and offs.


• Should be comfortable with working on Indian Holidays.


• Strong phone and verbal communication skills along with active listening.


• Customer focus and adaptability to different personality types.


• Ability to multi-task, set priorities and manage time effectively.


• Previous experience in US Healthcare will be an added advantage.


• Immediate joiners will be given the top preference.

Job location: Sector 62, Noida

Interested people can send their resume at

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