Urgent hiring

1 week ago

Noida, Uttar Pradesh, India Rxadvance Pbm Full time ₹ 15,00,000 - ₹ 28,00,000 per year

Role & responsibilities

Experience: 1- 6 years of US Calling Experience.

Responsibilities:

  • Manage Inbound & Outbound calls and customer service enquiries, in this profile specifically agent will be answering an inbound calls which they will receive from the providers/pharmacies/members to seek assistance on benefits or on claim denials.
  • US Medical/PBM denied Claims Handling process.
  • Utilization Management handling including PA, Appeals, etc.
  • RCM cycle that is used to manage the financial cycle of a patients encounter.
  • Management and resolve customer complaints
  • Identifying customers needs, clarify information, research every issue and providing solutions
  • Following call centre scripts when handling different topics
  • Work with the team to resolve issues with good aptitude
  • Maintain and prepare activity reports.
  • Maintains and improves quality results by adhering to standards and guidelines, recommending improved procedures

Requirements:

  • Previous experience in US Voice Process
  • Should be comfortable with rotational shifts and offs.
  • Should be comfortable with working on Indian Holidays.
  • Should be well versed with end to end claims handling process.
  • Strong phone and verbal communication skills along with active listening
  • Familiarity with CRM systems and practices
  • Customer focus and adaptability to different personality types
  • Ability to multi-task, set priorities and manage time effectively

Mandatory Skills/Experience:

  • Excellent communication skills (written and verbal).
  • American accent would be preferable.
  • Should be comfortable with rotational shifts and offs.
  • Should be comfortable with working on Indian Holidays.
  • Candidates must be willing to work in Voice process.

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