
US Healthcare Representative
4 days ago
Job Title: US Healthcare Professional
As a key member of our team, you will be responsible for handling inbound and outbound calls with insurance companies and patients in the US. Your primary focus will be on various aspects of Revenue Cycle Management (RCM) such as eligibility verification, claim status inquiry, prior authorization, and denial management.
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.
Benefits: Competitive compensation package, career growth opportunities, and a dynamic work environment.
Others: If you are passionate about delivering exceptional customer service and have a strong interest in US healthcare, we encourage you to apply for this exciting opportunity.
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