L2 - Operations (Healthcare Calling) Specialist

3 weeks ago


Pune, India Fulcrum Digital Full time

Who are we:

Fulcrum Digital is an agile and next-generation digital accelerating company providing digital transformation and technology services right from ideation to implementation. These services have applicability across a variety of industries including banking & financial services, insurance, retail, higher education, food, healthcare, and manufacturing.

 

 Role -

 

Healthcare/Prescription Calling Specialist is primarily responsible for obtaining prescriptions via OB-gyn offices/doctor set up. A strong candidate will be able to successfully handle phone interactions with the hospital/Ob-gyn offices/individual doctor set up/doctor’s office agents. 

 

SkillSets –

Healthcare Calling Specialist



Requirements
  • To call doctor’s offices, verify correct phone number and obtain correct fax number to the doctor’s office.
  • Communicating with agents to provide prescription based on requirements the insurance covered.
  • Updating patient information/keeping records
  • Sending prescription forms to the doctor’s offices. Follow-up with offices if prescription not received.
  • Performs miscellaneous job-related duties as assigned
  • Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.

Qualifications

  • Graduate with minimum 2 years of prior calling experience in Insurance
  • Healthcare domain (US Healthcare/Data Domain)/Customer Service.
  • Understanding of insurance requirements (US insurance domain)
  • Pre-authorization knowledge/experience
  • Strong communication skills. Ability to answer the agents questions. Experience in technology (Excel and Reporting)
  • Ability to manage daily, weekly and monthly reporting




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