US Health Care (Voice Process)

You are being hired as a Provider Support (Associate/Specialist/Executive) for the Inbound Voice Process at Integrum Outsource Solutions Private Limited. Your main responsibilities include analyzing, reviewing, and adjudicating provider claims, ensuring compliance with company policies and regulations, verifying member eligibility and benefit coverage, and maintaining HIPAA compliance. Key Responsibilities: - Analyze, review, and adjudicate provider claims. - Ensure compliance with company policies, state and federal regulations, and client guidelines. - Verify member eligibility, benefit coverage, and authorization requirements. - Utilize domain knowledge to solve problems and improve workflows. - Maintain HIPAA compliance and protect confidential claim information. - Provide process improvement suggestions and update documentation accordingly. - Perform administrative duties as assigned. Required Qualifications: - Freshers with excellent communication skills interested in Medical Billing (RCM), International Calling, Claim Processing, or Denial Management (A.R) can apply. - Typing speed of at least 30 WPM. - Effective verbal and written communication skills. - Active listening and ability to assess customer needs. - Critical thinking and problem-solving skills. If you are looking for a challenging role in the healthcare industry and meet the requirements, we welcome you to apply and be a part of our expanding team. Location: Navi Mumbai, Maharashtra Shift: Night Shift Work Type: Full-time Note: Compliance with all company policies and adherence to HIPAA regulations and healthcare compliance standards are essential for this role.,