Urgently Required- Customer Service Representative/ Work From Office

1 - 3 years

5 - 6 Lacs

Posted:9 months ago| Platform: Naukri logo

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Work Mode

Work from Office

Job Type

Full Time

Job Description

Role & responsibilities

Experience

Responsibilities:

  • Manage Inbound & Outbound calls and customer service enquiries, in this profile specifically agent will be answering an inbound calls which they will receive from the providers/pharmacies/members to seek assistance on benefits or on claim denials.
  • US Medical/PBM denied Claims Handling process.
  • Utilization Management handling including PA, Appeals, etc.
  • RCM cycle that is used to manage the financial cycle of a patients encounter.
  • Management and resolve customer complaints
  • Identifying customers’ needs, clarify information, research every issue and providing solutions
  • Following call centre “scripts” when handling different topics
  • Work with the team to resolve issues with good aptitude
  • Maintain and prepare activity reports.
  • Maintains and improves quality results by adhering to standards and guidelines, recommending improved procedures.