Bulk Hiring For Customer Service Representative
2 days ago
Roles & Responsibilities:
- Manage inbound & outbound calls from US providers, pharmacies, and members regarding benefits or claim denials.
- Handle US Medical/PBM denied claims and Utilization Management (PA, Appeals, etc.).
- Manage RCM cycle for patient financial encounters.
- Evaluate documents to ensure accurate claim information.
- Resolve customer queries and complaints professionally.
- Adhere to call center scripts, maintain quality standards, and prepare reports.
Requirements:
- 23 years of US Healthcare voice process experience.
- Excellent communication skills.
- Comfortable with rotational shifts (247) and working on Indian holidays.
- Strong knowledge of claims handling and CRM systems.
- Customer-focused, adaptable, with good problem-solving skills.
- Must be willing to work in a voice process.
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