International Voice Process- Health Care

0 - 2 years

3 Lacs

Posted:22 hours ago| Platform: Naukri logo

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Job Type

Full Time

Job Description

As a customer service advocate, you will be assisting members with various questions on their health plan and ensuring all questions are answered accurately using tools provided. Questions will cover things such as plan benefits, claims inquiries, finding a provider, billing and payment inquiries.

Roles and Responsibilities

  • Agents will answer inbound calls for members and assist them with a variety of inquiries using tools provided and demonstrating a willingness to help, empathy when needed, and ensure issue resolution.
  • Answer calls in a timely manner with friendly demeanor and willingness to assist
  • Assist members with inquiries finding resolutions via the knowledge management system. Topics include but are not limited to billing and payment histories, explanation of benefits, provider search and confirmation of medical coverage.
  • Thorough documentation of the call inquiry and resolution discussed as well as any next steps in the CRM tool
  • Make necessary outbound follow ups when needed to support final resolution and satisfaction
  • Follow all compliance guidelines for verification (HIPAA)
  • Maintain professional demeanor, ensuring all questions answered and thorough understanding of the situation to address possible questions/scenarios
  • Responsible for ensuring that primary metrices are met

Education & Experience

  • No prior work experience required
  • At least 6 months of customer service experience preferred
  • Background in contact center, healthcare, or insurance is a plus
  • Must have completed high school
  • Minimum age requirement: 18 years
  • Must be proficient in reading, speaking, and understanding English to effectively communicate with customers and follow instructions

Please WhatsApp to 7702293051.

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VXI Global Solutions Llc logo
VXI Global Solutions Llc

Primary and Secondary Education

WICHITA Kansas

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