Program Specialist (Voice Process)_ US Healthcare

1 - 6 years

1 - 6 Lacs

Posted:5 hours ago| Platform: Naukri logo

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Work Mode

Work from Office

Job Type

Full Time

Job Description

Role: Voice Program Specialist - Benefit Verification US Healthcare

Location: Bengaluru 56001

Work Model: Work From Home for initial 1 Month, then 5 Days Work From Office as per Requirement

Graduation is Mandatory

  • Total 1.5 Years Experience into Customer Service & 1 year relevant in International Voice Process and 1yr relevant into US Healthcare.

  • Minimum 1 Year Relevant Experience is Mandatory into US or International Healthcare Process.

  • HIPAA Compliance Knowledge Preferred

If Only Suitable then share your Resume to cakhila@astoncarter.com or contact- 7057126560

  • Quickly and efficiently respond to incoming calls and faxes, identify how best to assist.
  • Conduct outbound calls of insurance verifications to understand if patients prescribed therapy is eligible for coverage. Document results in appropriate tracking system.
  • Document calls in appropriate tracking systems, and handle/escalate calls per established procedures.
  • Process patient applications and follow the program's specifications to determine their eligibility.
  • Document results in appropriate tracking system and manage follow-ups as appropriate. Place follow-up calls and respond to enquiries from patients and/or healthcare providers as necessary.
  • Maintain a professional, calm and friendly demeanor. Express thoughts and instructions clearly in both verbal and written communication; i.e. uses grammatically correct and concise language.
  • Coordinate the order and transfer of prescriptions based on their degrees of urgency to specialty pharmacies as appropriate.
  • Be familiar with the market place and the insurance options available for patients.
  • Educate patients on the available options as appropriate.
  • Strict adherence to follow the process SOPs.

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