US Healthcare
4 weeks ago
Key Responsibilities:
- Handle inbound and outbound calls to/from insurance companies and patients in the US.
- Work on various aspects of RCM like eligibility verification, claim status inquiry, prior authorization, and denial management.
- Accurately document call details and update patient or claim records in internal systems.
- Follow HIPAA compliance and maintain the confidentiality of patient information.
- Coordinate with internal teams to resolve issues related to claims or billing.
- Meet KPIs including AHT (Average Handling Time), FCR (First Call Resolution), and Quality Scores.
- Stay updated with US healthcare guidelines, insurance terminologies, and payer policies.
Requirements:
- Education: Any graduate (life sciences or healthcare background preferred).
- Experience: 6 months to 2 years in US healthcare voice process (AR Calling, Claims Processing, etc.). Freshers with excellent communication skills can apply.
- Excellent verbal communication skills in English (neutral or US accent preferred).
- Knowledge of medical billing terminologies, ICD/CPT codes, or EOBs is a plus.
- Comfortable working night shifts and in a performance-driven environment.
- Strong problem-solving and data entry skills.
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