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Home
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Rxadvance Pbm
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Bulk Hiring For Customer Service Representative (US)

Bulk Hiring For Customer Service Representative (US)

2 - 5 years

|

2 - 5 Lacs

Posted:3 days ago| Platform:

Apply

Skills Required

international voice customer service outbound us healthcare calling claims handling inbound international bpo

Work Mode

Work from Office

Job Type

Full Time

Job Description

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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