US Healthcare Specialist

2 days ago

Hyderabad Secunderabad Telangana, India beBeeHealthcare Full time ₹ 1,04,000 - ₹ 1,30,878
Job Summary:

We are seeking a highly skilled and motivated individual to join our team in the US healthcare industry. As a key member of our organization, you will be responsible for handling inbound and outbound calls to/from insurance companies and patients in the US.

Your primary focus will be on various aspects of Revenue Cycle Management (RCM) including eligibility verification, claim status inquiry, prior authorization, and denial management.

You will accurately document call details and update patient or claim records in internal systems while maintaining strict confidentiality of patient information as per HIPAA guidelines.

Effective communication with internal teams is crucial to resolve issues related to claims or billing, ensuring seamless customer experience.

Key Performance Indicators (KPIs) such as Average Handling Time (AHT), First Call Resolution (FCR), and Quality Scores will be closely monitored and met.

Staying updated with US healthcare guidelines, insurance terminologies, and payer policies is essential for success in this role.

Requirements:
  • Education: A bachelor's degree in a relevant field or life sciences/healthcare background preferred.
  • Experience: Minimum 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 with 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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