Process Associate
4 days ago
JOB SUMMARY
We are looking for a diligent and enthusiastic fresher to join our team as an RCM Customer Service Executive – Voice/Semi Voice. This role involves working closely with healthcare providers to ensure accurate and timely reimbursement for services rendered. The ideal candidate will have strong communication skills and a keen eye for detail. Willing to work in US Shifts.
KEY WORDS
English Language fluency, Night shift, Multi-tasking, Analytical thinking, Problem solving
ESSENTIAL RESPONSIBILITIES:
§ Make outbound calls to healthcare providers and insurers to follow up on claims and payments.
§ Investigate and resolve issues with denied or underpaid claims.
§ Maintain accurate records of all communications and transactions.
§ Conduct pre and post call analysis, documentation, and take appropriate actions to resolve tasks at first contact.
§ Update account-wise customer interactions daily.
§ Achieve critical performance targets.
§ Ensure efficiency in line with performance targets and process guidelines.
§ Identify problems and document business requirements using industry knowledge and tools.
§ Follow client process workflows and HCL policy guidelines.
SKILLS AND COMPETENCIES
§ Strong verbal and written communication skills
§ Focus on delivering a positive customer experience
§ Should possess active listening skills
§ Good data entry & typing skills
§ Ability to multitask.
§ Ability to contribute to the process through improvement ideas.
§ Analytical and problem-solving skills on the process.
§ To use sound judgment and take decisions.
FORMAL EDUCATION AND EXPERIENCE
Ø Graduation (any stream)
Ø 0 - 6 months of International Voice (Inbound/Outbound) process experience preferably in patient handling, Provider/DME AR calling.
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