L2 - Operations (Healthcare Calling) Specialist
1 month ago
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
Requirements
Healthcare Calling Specialist, US Calling, International calling, Customer Support, Voice Process
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