US Health Care (Voice Process) - Night Shift - Freshers Only

As a Provider Support (Associate/Specialist/Executive) at Integrum Outsource Solutions Private Limited, you will be responsible for handling the Inbound Voice Process, specifically providing eligibility, benefits, and claim status support through calls. Your role involves ensuring high-quality service delivery and adherence to compliance standards. Key Responsibilities: - Analyze, review, and adjudicate provider claims. - Ensure compliance with company policies, state and federal regulations, and client guidelines. - Review claims for cost reasonability and medical necessity. - Communicate with reinsurance brokers for claim processing information. - Verify member eligibility, benefit coverage, and authorization requirements. - Utilize domain knowledge to solve problems and enhance workflows. - Maintain HIPAA compliance and safeguard confidential claim information. - Offer suggestions for process improvements and update documentation accordingly. - Perform assigned administrative duties. Required Qualifications: - Freshers with excellent communication skills and interest in Medical Billing (RCM), International Calling, Claim Processing, or Denial Management (A.R) are encouraged to 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 meet the above requirements and seek a challenging role in the healthcare industry, we welcome you to apply and join our expanding team. Work Environment & Benefits: - Work Location: Seawoods Darave, Navi Mumbai - Drop Facility Available - Competitive Salary Range: Rs. 20,000 to Rs. 25,000 Compliance & Adherence: - Must comply with all company policies and procedures. - Adherence to HIPAA regulations and healthcare compliance standards. Please note: This job requires full-time availability, night shift schedule, proficiency in English, and the ability to work in person at the Navi Mumbai, Maharashtra location.,