Process Associate

1 week ago

Ahmedabad, Gujarat, India Future Health Cares Full time ₹ 2,00,000 - ₹ 4,00,000 per year

We are looking for experienced and motivated professionals to join our US Healthcare Voice Process team. The role involves handling calls with insurance companies, healthcare providers, and patients in the United States to follow up on medical claims, resolve denials, verify eligibility, and ensure accurate claim reimbursement.

You will play a key role in supporting our revenue cycle operations while maintaining high standards of communication, professionalism, and accuracy.

Key Responsibilities:

  • Perform calling to US insurance companies to follow up on outstanding medical claims.
  • Understand and resolve claim denials, rejections, and payment discrepancies.
  • Verify insurance eligibility and benefits for patients as per client requirements.
  • Ensure timely and accurate claim status updates in the billing system or CRM.
  • Escalate complex cases to the appropriate department for resolution.
  • Maintain daily productivity and quality benchmarks.
  • Follow HIPAA compliance and patient data confidentiality at all times.
  • Work collaboratively with internal billing and coding teams.
  • Provide clear documentation of all interactions and outcomes.

Preferred candidate profile

Required Skills & Qualifications:

  • Excellent English communication skills (verbal & written).
  • Prior experience (6 months 3 years) in US Healthcare AR Calling, RCM, or Denial Management preferred.
  • Knowledge of medical billing terminology, CPT, ICD, and HIPAA regulations.
  • Strong analytical and problem-solving abilities.
  • Proficiency in using MS Office, CRM tools, and billing software.
  • Ability to work in US night shifts (EST/PST time zone).
  • Educational Qualification: Graduate / Undergraduate (any stream).

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