Process Associate

0 - 3 years

2 - 3 Lacs

Posted:8 hours ago| Platform: Naukri logo

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Work Mode

Work from Office

Job Type

Full Time

Job Description

US Healthcare Voice Process

You will play a key role in supporting our revenue cycle operations while maintaining high standards of communication, professionalism, and accuracy.

Key Responsibilities:

  • Perform

    calling to US insurance companies

    to follow up on outstanding medical claims.
  • Understand and resolve claim

    denials, rejections, and payment discrepancies

    .
  • Verify

    insurance eligibility and benefits

    for patients as per client requirements.
  • Ensure timely and accurate

    claim status updates

    in the billing system or CRM.
  • Escalate complex cases to the appropriate department for resolution.
  • Maintain

    daily productivity and quality benchmarks

    .
  • Follow HIPAA compliance and

    patient data confidentiality

    at all times.
  • Work collaboratively with internal billing and coding teams.
  • Provide

    clear documentation

    of all interactions and outcomes.

Preferred candidate profile

Required Skills & Qualifications:

  • Excellent

    English communication skills

    (verbal & written).
  • Prior experience (6 months 3 years) in

    US Healthcare AR Calling, RCM, or Denial Management

    preferred.
  • Knowledge of

    medical billing terminology, CPT, ICD, and HIPAA

    regulations.
  • Strong analytical and problem-solving abilities.
  • Proficiency in using

    MS Office, CRM tools, and billing software

    .
  • Ability to work in

    US night shifts (EST/PST time zone)

    .
  • Educational Qualification: Graduate / Undergraduate (any stream).

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