US Healthcare

0 - 1 years

2 - 4 Lacs

Posted:1 month ago| Platform: Foundit logo

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Skills Required

Work Mode

On-site

Job Type

Full Time

Job Description

Key Responsibilities:

  • Handle inbound and outbound calls to/from insurance companies and patients in the US.
  • Work on various aspects of

    RCM

    like eligibility verification, claim status inquiry, prior authorization, and denial management.
  • Accurately document call details and update patient or claim records in internal systems.
  • Follow HIPAA compliance and maintain the confidentiality of patient information.
  • Coordinate with internal teams to resolve issues related to claims or billing.
  • Meet KPIs including

    AHT (Average Handling Time)

    ,

    FCR (First Call Resolution)

    , and

    Quality Scores

    .
  • Stay updated with US healthcare guidelines, insurance terminologies, and payer policies.

Requirements:

  • Education: Any graduate (life sciences or healthcare background preferred).
  • Experience: 6 months to 2 years in

    US healthcare voice process

    (AR Calling, Claims Processing, etc.). Freshers with excellent communication skills can apply.
  • Excellent verbal communication skills in English (neutral or US accent preferred).
  • Knowledge of

    medical billing terminologies

    ,

    ICD/CPT codes

    , or

    EOBs

    is a plus.
  • Comfortable working night shifts and in a performance-driven environment.
  • Strong problem-solving and data entry skills.

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